Individual
DR. REBECCA GUSTAVSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 N MESA DR UNIT 9, MESA, AZ 85201-1622
(707) 540-1456
Mailing address
1932 N MESA DR UNIT 9, MESA, AZ 85201-1622
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
15-1487
AZ
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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