Individual
LAURA GAINES-BEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
42101 N 41ST DR STE 152, ANTHEM, AZ 85086-3819
(602) 877-3045
Mailing address
43308 N 44TH DR, NEW RIVER, AZ 85087-5921
(623) 977-2304
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
010045
AZ
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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