HEART OF HEALING AZ
Managed Care Organizations at 16 St, Phoenix, AZ

License number
Arizona 0764
Category
Managed Care Organizations
Type
Health Maintenance Organization
License number
Arizona 0764
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: AEIMEE GLORIA DIAZ L. AC.
Title: OWNER, PRACTITIONER
Phone: (602) 413-0424
Address
Address
4401 N 16Th St, Phoenix, AZ 85016
National Provider ID: 1104230853
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HEART OF HEALING AZ at bizstanding.com

HEART OF HEALING AZ PLLC

4401 N 16 St, Phoenix, AZ 85016

Registration:
Mar 25, 2011
State ID:
P-1647819-5
Expiration:
PERPETUAL
Member:
Aeimee Diaz (Member), 822 W Impala Cir, Mesa, AZ 85210 (Physical)

Heart of Healing Az Pllc

119 W Mcdowell Rd, Phoenix, AZ 85003

Status:
Inactive
Industry:
Nonclassifiable Establishments
Principal:
Aeimee Diaz (Principal)

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