Individual
MAYO MERCEDES WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC OM
Contact information
Practice address
3806 N 3RD ST STE 300, PHOENIX, AZ 85012-2016
(623) 242-0541
Mailing address
3806 N 3RD ST STE 300, PHOENIX, AZ 85012-2016
(623) 242-0541
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0726
AZ
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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