Organization
PROACTIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROSE (PRESIDENT)
(602) 944-0976
Entity
Organization
Contact information
Practice address
1321 NOTHERN AVE, PHOENIX, AZ 85202
(602) 944-0976
Mailing address
PO BOX 81409, PHOENIX, AZ 85069-1409
(602) 449-0976
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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