Search › Arizona › 171100000X
Jill Dedera, L.AC
NPI 1548696255 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3331 S Moore Cir
Flagstaff, AZ 86005 - Phone
- (928) 699-6494
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-25
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