Organization
ELAIA INTEGRATIVE HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY AVERY L.AC. (MANAGER)
(480) 269-2656
Entity
Organization
Contact information
Practice address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
(480) 269-2656
Mailing address
3303 E BASELINE RD STE 109, GILBERT, AZ 85234-2739
(480) 269-2656
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1090
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1090
TRIWEST - VETERANS
AZ
Enumeration date
07/26/2017
Last updated
07/21/2022
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