Organization
COCONINO HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATARA MARSHALL (OWNER)
(202) 491-3155
Entity
Organization
Contact information
Practice address
2733 E LAKIN DR STE 3, FLAGSTAFF, AZ 86004-3951
(602) 706-4405
Mailing address
2733 E LAKIN DR STE 3, FLAGSTAFF, AZ 86004-3951
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
01/25/2024
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