Organization
HEART OF HEALING AZ
Active
Other names
Health be with you
Organization subpart
No
Provider details
NPI number
Authorized official
AEIMEE GLORIA DIAZ L. AC. (OWNER, PRACTITIONER)
(602) 413-0424
Entity
Organization
Contact information
Practice address
4401 N 16TH ST, PHOENIX, AZ 85016-5302
(602) 413-0424
Mailing address
4401 N 16TH ST, PHOENIX, AZ 85016-5302
(602) 413-0424
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
0764
AZ
305R00000X
Preferred Provider Organization
Primary
0764
AZ
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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