Dedera, Jill A

Dedera, Jill A is an sole proprietor health care provider with primary practice located at 3331 S Moore Cir , Flagstaff AZ 86005-8501. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Dedera, Jill A can be contacted via phone (928) 699-6494.

Contact Information

Primary practice address
3331 S Moore Cir Flagstaff AZ 86005-8501
Phone: (928) 699-6494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 0706 Arizona

Profile Details

NPI number 1548696255
LBN Legal business name Dedera, Jill A
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2013
Last updated Sep 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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