Individual
DR. FERNANDA DURLENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM, LAC
Contact information
Practice address
4170 E TOMAHAWK PASS, SEDONA, AZ 86336-4334
(928) 399-9998
Mailing address
4170 E TOMAHAWK PASS, SEDONA, AZ 86336-4334
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/21/2019
Last updated
08/21/2019
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