Organization
BALANCE HORMONE CENTER
Active
Organization
BALANCE HORMONE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI BUSELLATO (CREDENTIALING)
(480) 718-9960
Entity
Organization
Contact information
Practice address
2730 S VAL VISTA DR BLDG 5, SUITE 127, GILBERT, AZ 85295-1675
(480) 718-9960
Mailing address
2730 S VAL VISTA DR BLDG 5, SUITE 127, GILBERT, AZ 85295-1675
(480) 718-9960
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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