NPI 1942539648
Yavapai County
Practice location
- Address
- 6717 E 2nd St Suite D, Prescott Valley, AZ 86314-2659
- Phone
- (928) 771-3560
- Fax
- (928) 771-3542
Authorised official
- Name
- Vicki Mastriani
- Title
- Admin Supervisor
- Phone
- (928) 771-3560
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1942539648
- Entity type
- Organization
- NPI issued
- 9 Dec 2009
- Record last updated
- 4 Feb 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.