Individual
CELINA FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
55 LAKE HAVASU AVE S STE L, LAKE HAVASU CITY, AZ 86403-0938
(928) 855-9770
(928) 855-9774
Mailing address
116 LAKE HAVASU AVE S STE 103, LAKE HAVASU CITY, AZ 86403-0811
(928) 855-9770
(928) 855-9774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HAD6181
AZ
Other
Enumeration date
10/17/2014
Last updated
06/27/2023
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