| NPI | 1497246482 |
|---|---|
| Doing Business As | ARIZONA ESSENTIAL HOLISTIC CARE |
| Former Legal Business Name | ARIZONA ESSENTIAL HOLISTIC CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | ALODIA BANUELOS DOMINGO Provider/Owner 623-738-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ AP5625) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-11-25 |