Individual
KIM SUZANNE PLAWCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
522 E. SHELDON ST, PRESCOTT, AZ 86301
(928) 460-2619
Mailing address
3550 S SENATOR HWY, #3, PRESCOTT, AZ 86303-8428
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11367
AZ
Other
Enumeration date
03/30/2009
Last updated
12/08/2011
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