| NPI | 1790154474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY JACOBS Acupuncturist 928-254-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 6305) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |