Individual
DR. SHELLY THRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL O.M.
Contact information
Practice address
3095 E BEAVER CREEK RD, RIMROCK, AZ 86335-5112
(626) 720-3866
Mailing address
PO BOX 1907, CAMP VERDE, AZ 86322
(626) 720-3866
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
18252
CA
171100000X
Acupuncturist
Primary
21476495
AZ
225700000X
Massage Therapist
50034
CA
Other
Enumeration date
01/11/2019
Last updated
03/01/2024
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