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Organization
HEART OF HEALING AZ
Active
Organization
HEART OF HEALING AZ
Active
Other names
Health be with you
Organization subpart
No
Provider details
NPI number
Authorized official
AEIMEE GLORIA DIAZ L. AC. (OWNER, PRACTITIONER)
(602) 413-0424
Entity
Organization
Contact information
Practice address
4401 N 16TH ST, PHOENIX, AZ 85016-5302
(602) 413-0424
Mailing address
4401 N 16TH ST, PHOENIX, AZ 85016-5302
(602) 413-0424
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
0764
AZ
305R00000X
Preferred Provider Organization
Primary
0764
AZ
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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