Individual
DEIDRA SUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15556 W MESCAL ST, SURPRISE, AZ 85379-4690
(928) 691-0198
Mailing address
15556 W MESCAL ST, SURPRISE, AZ 85379-4690
(928) 691-0198
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
AZ
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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