Charmonique Tims, NMD

NPI 1265766463 · on the registry since 2009

Practice

Address: 5251 W Campbell Ave Ste 105
Phoenix, AZ 85031
Phone: (480) 560-3876
Fax: (623) 245-3475
Organisation at this address: Mdx Laboratory
New Destiny Clinic
Ascnd University Llc
John N Glover Md Ltd
Inspyred Fruition Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 175F00000X
175F00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona