Healthcare Provider Details

I. General information

NPI: 1316896541
Provider Name (Legal Business Name): LAURA BETH GANDARILLAS NATUROPATH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8226 MEADOW WICK CT
PASADENA MD
21122-1152
US

IV. Provider business mailing address

8226 MEADOW WICK CT
PASADENA MD
21122-1152
US

V. Phone/Fax

Practice location:
  • Phone: 443-333-9706
  • Fax:
Mailing address:
  • Phone: 443-333-9706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberSCHOLISTICO
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: