Healthcare Provider Details

I. General information

NPI: 1083006506
Provider Name (Legal Business Name): ELIZABETH LEIGH ZAMECKI N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2015
Last Update Date: 02/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 ESPLANADE
CHICO CA
95926-4900
US

IV. Provider business mailing address

1351 ESPLANADE
CHICO CA
95926-4900
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-9355
  • Fax:
Mailing address:
  • Phone: 831-320-9438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND671
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: