Individual
SUSAN L SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4814 W GLENDALE AVE, GLENDALE, AZ 85301-2734
(623) 937-9125
(623) 937-1435
Mailing address
4814 W GLENDALE AVE, GLENDALE, AZ 85301-2734
(623) 937-9125
(623) 937-1435
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0095
AZ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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