Organization
DYNASTY OF SELAH INTEGRATED HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA C CHERRY (OWNER OF ENTITY)
(770) 231-3593
Entity
Organization
Contact information
Practice address
1846 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(770) 231-3593
Mailing address
1846 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(770) 231-3593
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
12/02/2022
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