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Organization
OWN YOUR PATH WELLNESS LLC
Active
Organization
OWN YOUR PATH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PARIS CHRISTA MANDY NP (OWNER)
(623) 256-2136
Entity
Organization
Contact information
Practice address
1650 N DYSART RD STE 3, GOODYEAR, AZ 85395-1116
(623) 256-2136
Mailing address
12350 W CAMELBACK RD UNIT 70, LITCHFIELD PARK, AZ 85340-5634
(623) 256-2136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
08/09/2024
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