Organization
INNOVATIVE VIBRATIONS LLC
Active
Other names
INNOVATIVE VIBRATIONS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRA AMICO CPT, CET (OWNER)
(520) 431-2518
Entity
Organization
Contact information
Practice address
45096 W BUCKHORN TRL, MARICOPA, AZ 85139-4171
(520) 431-2518
Mailing address
45096 W BUCKHORN TRL, MARICOPA, AZ 85139-4171
(520) 431-2518
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/30/2023
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