| Coconino Health And Wellness Center Llc | |
|
2733 E Lakin Dr Ste 3 Flagstaff AZ 86004-3951 | |
| (602) 706-4405 | |
| Not Available |
| Full Name | Coconino Health And Wellness Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2733 E Lakin Dr Ste 3, Flagstaff, Arizona |
| Authorized Official Name and Position | Latara Marshall (OWNER) |
| Authorized Official Contact | 2024913155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coconino Health And Wellness Center Llc 2733 E Lakin Dr Ste 3 Flagstaff AZ 86004-3951 Ph: () - | Coconino Health And Wellness Center Llc 2733 E Lakin Dr Ste 3 Flagstaff AZ 86004-3951 Ph: (602) 706-4405 |
| NPI Number | 1346933553 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346933553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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