Individual
DR. JAVIER MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NMD
Contact information
Practice address
501 S 11TH ST, SUITE B, SHOW LOW, AZ 85901-6548
(928) 537-4242
(928) 496-0282
Mailing address
501 S 11TH ST, SUITE B, SHOW LOW, AZ 85901-6548
(928) 537-4242
(928) 496-0282
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
10-1188
AZ
Other
Enumeration date
08/12/2010
Last updated
04/20/2015
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