Organization
YUMA WELLNESS & AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRAHAM (OWNER)
(928) 210-3767
Entity
Organization
Contact information
Practice address
1455 W 16TH ST STE A, YUMA, AZ 85364-8921
(928) 510-0899
(928) 447-2501
Mailing address
3643 W LIVINGSTON ESTATES CT, YUMA, AZ 85365-7985
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
09/06/2023
Last updated
03/06/2024
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