Individual
JACQUELINE SUSAN HARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
1916 W WOODLAND LAKE RD, LAKESIDE, AZ 85929-6470
(928) 367-2551
Mailing address
1916 W WOODLAND LAKE RD, LAKESIDE, AZ 85929-6470
(928) 367-2551
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0166
AZ
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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