Healthcare Provider Details

I. General information

NPI: 1376667725
Provider Name (Legal Business Name): GUDRUN KLARA TONSKAMPER N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1676 MARTIN DRIVE SUITE 200
SOUTH SURREY BC
V4A6E7
CA

IV. Provider business mailing address

1676 MARTIN DRIVE SUITE 200
SOUTH SURREY BC
V4A6E7
CA

V. Phone/Fax

Practice location:
  • Phone: 604-536-1400
  • Fax: 604-536-1455
Mailing address:
  • Phone: 604-536-1400
  • Fax: 604-536-1455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000462
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: