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Organization
LONGEVITY MEDICAL HEALTH CENTER, LLC
Active
Organization
LONGEVITY MEDICAL HEALTH CENTER, LLC
Active
Other names
Naturopathic Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN M PSENKA ND (OWNER/MEMBER)
(602) 493-2273
Entity
Organization
Contact information
Practice address
13832 N 32ND STREET, SUITE #126, PHOENIX, AZ 85032-5616
(602) 493-2273
(602) 493-2159
Mailing address
13832 N 32ND STREET, SUITE #126, PHOENIX, AZ 85032-5616
(602) 493-2273
(602) 493-2159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
02/08/2012
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