Iconic Human Design, LLC

NPI #1689563405 in Cornville, Arizona

Provider Information

NPI Number: 1689563405
Entity Type: Organization
Organization Name: Iconic Human Design, LLC
Primary Specialty: Meals
Enumeration Date: Jun 30, 2025
Last Updated: Jun 30, 2025

Practice Location

Address: 180 S MERRITT RANCH RD
City: Cornville
State: Arizona
ZIP Code: 86325-5733
Phone: (928) 848-7388

Authorized Official

Name: LAVEENA BRIANNE ARCHERS, PHD
Title: MEMBER MANAGER
Phone: (928) 948-7388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X	Primary

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