Individual
DR. BRECKIN NICOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
7836 E PLATA AVE, MESA, AZ 85212-1520
(480) 232-6900
Mailing address
7836 E PLATA AVE, MESA, AZ 85212-1520
(480) 232-6900
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
14-1421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-1421
STATE OF ARIZONA LICENSE TO PRACTICE NATUROPATHIC MEDICINE
AZ
Enumeration date
04/02/2014
Last updated
04/02/2014
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