Organization
MODERN ANCIENTS DBA VERDE VALLEY ACUPUNCTURE
Active
Parent organization
MODERN ANCIENTS
Other names
Verde Valley Acupuncture LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN ANCIENTS
Authorized official
MS. JEANETTE ELAINE CAMPBELL L.AC (OWNER,MEMBER,PRACTICIONER)
(928) 639-3700
Entity
Organization
Contact information
Practice address
719 N 5TH ST, COTTONWOOD, AZ 86326-3708
(928) 639-3700
(928) 304-7171
Mailing address
719 N 5TH ST, COTTONWOOD, AZ 86326-3708
(928) 639-3700
(928) 304-7171
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AZ0515
AZ
Other
Enumeration date
01/02/2016
Last updated
01/02/2016
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