Individual
KIMBERLYN MIZERA-LIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258-5036
(480) 616-2549
Mailing address
8175 E EVANS RD UNIT 15101, SCOTTSDALE, AZ 85267-5080
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
18-1734
AZ
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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