Organization
AQUA FRIA HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA LEE RANDALL (MEMBER)
(929) 775-7221
Entity
Organization
Contact information
Practice address
12150 E TURQUOISE CIR, DEWEY, AZ 86327-5739
(928) 775-7221
(928) 775-7223
Mailing address
12150 E TURQUOISE CIR, DEWEY, AZ 86327-5739
(928) 775-7221
(928) 775-7223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4544
AZ
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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