Individual
JACLYN LEE BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
2164 E BROADWAY RD, TEMPE, AZ 85282-1766
(480) 970-0000
Mailing address
2164 E BROADWAY RD, TEMPE, AZ 85282-1766
(480) 970-0000
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
13-1395
AZ
Other
Enumeration date
10/04/2013
Last updated
03/17/2018
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