Individual
ERNEST CONSTANTINE ESTEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5235 S KYRENE RD STE 105-264, TEMPE, AZ 85283-1779
(480) 466-7473
Mailing address
925 W BASELINE RD STE 105-264, TEMPE, AZ 85283-1100
(623) 203-9737
(480) 945-5339
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000134
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000134
ACUPUNCTURE LICENSE
AZ
Enumeration date
12/14/2020
Last updated
12/14/2020
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