Individual
JO F CONDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
6900 E PRINCESS DR, 1106, PHOENIX, AZ 85054-4101
(480) 419-5059
Mailing address
6900 E PRINCESS DR, 1106, PHOENIX, AZ 85054-4101
(480) 419-5059
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AZ0408
AZ
Other
Enumeration date
11/14/2007
Last updated
12/12/2007
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