Individual
ARIA GABRIEL TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH STUDENT
Contact information
Practice address
208 E PINE KNOLL DR, FLAGSTAFF, AZ 86001
(928) 523-5122
Mailing address
28 THOMPSON DR, PRESCOTT, AZ 86305-6151
(623) 208-0236
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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