Individual
TALLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 N CENTER ST # 1, FLAGSTAFF, AZ 86004-3594
(928) 814-6923
Mailing address
2403 N CENTER ST #1, FLAGSTAFF, AZ 86004
(928) 814-6923
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0867
AZ
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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