Individual
DR. CHARMONIQUE DENISELUCI TIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
5251 W CAMPBELL AVE STE 105, PHOENIX, AZ 85031-1718
(480) 560-3876
(623) 245-3475
Mailing address
5251 W CAMPBELL AVE STE 105, PHOENIX, AZ 85031-1718
(480) 560-3876
(623) 245-3475
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
091100
AZ
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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