Cherise Basques

NPI #1730309261 in Flagstaff, Arizona

Provider Information

NPI Number
1730309261
Entity Type
Individual
Name
Cherise Basques
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Apr 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
125 E ELM AVE
Address 2
STE 103
State
Arizona
ZIP Code
86001-3258
Phone
(928) 779-1679

Specialties & Taxonomy Codes

Specialty
Specialist

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