Khailitha Fae, L. AC, DOM

NPI #1972913234 in Prescott, Arizona

Provider Information

NPI Number: 1972913234
Entity Type: Individual
Name: Khailitha Fae, L. AC, DOM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L. AC, DOM
Enumeration Date: May 7, 2014
Last Updated: May 7, 2014

Practice Location

Address: 119 GARDEN ST STE B
City: Prescott
State: Arizona
ZIP Code: 86305-2913
Phone: (928) 225-1655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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