Organization
AESTHETICALLY YOURS MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA PARIAL (REP)
(928) 443-8703
Entity
Organization
Contact information
Practice address
919 12TH PL STE 11, PRESCOTT, AZ 86305-1433
(928) 445-4272
(928) 541-9346
Mailing address
919 12TH PL STE 11, PRESCOTT, AZ 86305-1433
(928) 445-4272
(928) 541-9346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1958
AZ
Other
Enumeration date
01/07/2009
Last updated
04/19/2010
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