Organization
ELITE HOLISTIC CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE PINLAC NP (MEMBER/ PROVIDER)
(602) 699-4536
Entity
Organization
Contact information
Practice address
2906 E UNION HILLS DR, PHOENIX, AZ 85050-3430
(602) 699-4536
Mailing address
2906 E UNION HILLS DR, PHOENIX, AZ 85050-3430
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
01/10/2025
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