Organization
BEACON OF HEALTH FAMILY CHIROPRACTIC AND NATURAL MEDICINE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER NICOLE RUSCH GARCIA D.C. (CHIROPRACTIC PHYSICIAN/OWNER)
(928) 854-8005
Entity
Organization
Contact information
Practice address
1956 MESQUITE AVE, #103, LAKE HAVASU CITY, AZ 86403-5888
(928) 854-8005
(928) 854-8006
Mailing address
1956 MESQUITE AVE, #103, LAKE HAVASU CITY, AZ 86403-5888
(928) 854-8005
(928) 854-8006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8291
AZ
Other
Enumeration date
10/16/2012
Last updated
10/07/2015
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