Individual
MRS. KIRSTIN ANNA CORREIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
3405 N HIGLEY RD, MESA, AZ 85215
(518) 281-0689
Mailing address
PO BOX 20117, MESA, AZ 85277-0117
(518) 281-0689
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
12-1304
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-1304
LICENSE NUMBER
AZ
Enumeration date
04/05/2012
Last updated
07/03/2018
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