Organization
GREEN MOUNTAIN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA STOCKTON D.O.M. (OWNER)
(928) 965-9545
Entity
Organization
Contact information
Practice address
1059 N COLLEGE AVENUE, PO, THATCHER, AZ 85365
(928) 965-9545
(928) 350-8707
Mailing address
1059 N COLLEGE AVENUE, PO, THATCHER, AZ 85365
(928) 965-9545
(928) 350-8707
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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