Provider Demographics
NPI:1134671050
Name:BLOW, RIDDHI (ND)
Entity type:Individual
Prefix:
First Name:RIDDHI
Middle Name:
Last Name:BLOW
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:RIDDHI
Other - Middle Name:
Other - Last Name:GANDHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:2102 81ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-6453
Mailing Address - Country:US
Mailing Address - Phone:360-910-9778
Mailing Address - Fax:
Practice Address - Street 1:2808 HOYT AVE
Practice Address - Street 2:STE 201
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3551
Practice Address - Country:US
Practice Address - Phone:425-293-0107
Practice Address - Fax:425-293-0329
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60689205175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath