Individual
JANET DAHLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 CAPELLA DR, CHINO VALLEY, AZ 86323-7140
(928) 636-5956
(928) 636-5956
Mailing address
2557 CAPELLA DRIVE, CHINO VALLEY, AZ 86323-7140
(928) 636-5956
(928) 636-5956
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-04952P
MASSAGE THERAPIST
AZ
Enumeration date
08/10/2015
Last updated
08/10/2015
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