MARK DIETZGEN

PHOENIX, AZ
NPI1316348790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175F00000X Naturopath
(Licence: AZ  01653)
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
-- MARK DIETZGEN nmd
16515 S 40TH ST SUITE 103
PHOENIX, AZ 85048-0558
Phone number: 480-961-0760
Mailing Address
-- MARK DIETZGEN nmd
16515 S 40TH ST SUITE 103
PHOENIX, AZ 85048-0558
Phone number: 480-961-0760