# YUMA WELLNESS & AESTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073399929
- **Authorized official:** AMANDA GRAHAM (OWNER)
- **Authorized official phone:** (928) 210-3767

## Contact information

- **Practice address:** 1455 W 16TH ST STE A, YUMA, AZ 85364-8921
- **Practice address phone:** (928) 510-0899
- **Practice address fax:** (928) 447-2501
- **Mailing address:** 3643 W LIVINGSTON ESTATES CT, YUMA, AZ 85365-7985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 302F00000X | Exclusive Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2023
- **Last updated:** 03/06/2024