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Individual

DR. IASHA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NMD

Contact information

Practice address
4621 S 8TH ST, PHOENIX, AZ 85040-2229
(602) 326-7286
Mailing address
4621 S 8TH ST, PHOENIX, AZ 85040-2229

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
17-1690
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
NOT COVERED
Enumeration date
01/06/2018
Last updated
01/06/2018
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