Provider Demographics
NPI:1831635606
Name:HARRELL-STOKES, SUNANDA DM (LAC)
Entity Type:Individual
Prefix:
First Name:SUNANDA
Middle Name:DM
Last Name:HARRELL-STOKES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8711 E PINNACLE PEAK RD
Mailing Address - Street 2:154
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3517
Mailing Address - Country:US
Mailing Address - Phone:480-620-7777
Mailing Address - Fax:866-732-7027
Practice Address - Street 1:13951 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3452
Practice Address - Country:US
Practice Address - Phone:480-620-7777
Practice Address - Fax:866-732-7027
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0154171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist