Individual
LYNNETTE FAE BALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
1855 S COUNTRY CLUB DR STE 111, MESA, AZ 85210-6124
(480) 622-3035
(480) 622-3035
Mailing address
1758 S BUCHANAN ST, GILBERT, AZ 85233-8616
(480) 622-3035
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
14-1438
AZ
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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