Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2013-11-22
- Last updated
- 2013-11-22
Specialties
Licenses
- License AZ
- 1467
Location
- Practice location
- 100 VERDE VALLEY SCHOOL RD, SUITE 114
- City
- SEDONA AZ
- Postal code
- 863519053
- Phone
- 928-239-9901
Organization contact
- Name
- CAROLYN CHANG
- Title
- Sole Member
- Phone
- 9283010457
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.