Individual
DR. JACQUELINE ROCHELLE POULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.M.D
Contact information
Practice address
211 GROVE AVE, PRESCOTT, AZ 86301-2911
(928) 774-1332
(928) 774-0042
Mailing address
211 GROVE AVE, PRESCOTT, AZ 86301-2911
(928) 774-1332
(928) 774-0042
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
11-1272
AZ
Other
Enumeration date
12/15/2011
Last updated
10/05/2025
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