Individual
DR. KIMBERLY BORUCKI LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
2735 W UNION HILLS DR, SUITE 102, PHOENIX, AZ 85027-5033
(602) 973-1630
Mailing address
2735 W UNION HILLS DR, SUITE 102, PHOENIX, AZ 85027-5033
(602) 973-1630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5427
AZ
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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