Individual
SHANNA DIANE BAYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2039 S MILL AVE, TEMPE, AZ 85282-2137
(480) 999-4979
Mailing address
2039 S MILL AVE, TEMPE, AZ 85282-2137
(480) 999-4979
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
17-1627
AZ
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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