Individual
SHANNA TOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.M.D.
Contact information
Practice address
15710 N 183RD DR, SURPRISE, AZ 85388-2313
(858) 829-2363
Mailing address
15910 CUMBERLAND DR, POWAY, CA 92064-2347
(858) 829-2363
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
01-645
AZ
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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