MEDICARE: DR. JULIETTE SWEET N.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	60652032	WA

General Provider Information

NPI Number	:	1013463751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIETTE SWEET N.D.

Provider Business Mailing Address
First Line	:	57 CANYON CIRCLE
Second Line	:	#23
City	:	JEMEZ SPRINGS
State	:	NM
Zip	:	87025-0021
Country	:	US
Telephone Number	:	541-232-5205
Fax Number	:

Provider Business Practice Location Address
First Line	:	057 CANYON CIRCLE
Second Line	:
City	:	JEMEZ SPRINGS
State	:	NM
Zip	:	87025
Country	:	US
Telephone Number	:	541-232-5205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	07/16/2018

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