Organization
PHXCA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYO MERCEDES WARDLE LAC OM (PRESIDENT/ACUPUNCTURIST)
(623) 242-0541
Entity
Organization
Contact information
Practice address
3806 N 3RD ST STE 300, PHOENIX, AZ 85012-2016
(623) 242-0541
Mailing address
2333 W MULBERRY DR, PHOENIX, AZ 85015-5649
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/27/2020
Last updated
06/27/2020
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