Individual
PHYLLIS ARELLANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7426 E HORSESHOE LN, #B, PRESCOTT VALLEY, AZ 86314-3297
(928) 848-6490
Mailing address
PO BOX 26731, PRESCOTT VALLEY, AZ 86312-6731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT-02832P
AZ
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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