Provider Demographics
NPI:1679730089
Name:GIANNI, JUDY AMARA (NMD)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:AMARA
Last Name:GIANNI
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W WETMORE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1687
Mailing Address - Country:US
Mailing Address - Phone:520-887-4287
Mailing Address - Fax:
Practice Address - Street 1:1 W WETMORE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1687
Practice Address - Country:US
Practice Address - Phone:520-887-4287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ96-463175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath