Individual
DR. CHERYL LYNN KUBACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
10214 N. TATUM BLVD STE B-300, PHOENIX, AZ 85028
(480) 991-7900
(480) 991-7907
Mailing address
PO BOX 44384, PHOENIX, AZ 85064
(602) 576-8504
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
08-1090
AZ
Other
Enumeration date
11/18/2008
Last updated
09/18/2012
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