Provider Demographics
NPI:1700254513
Name:ADAMS, AIME LOUISE (LAC)
Entity Type:Individual
Prefix:MS
First Name:AIME
Middle Name:LOUISE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 PINON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-6902
Mailing Address - Country:US
Mailing Address - Phone:703-579-7606
Mailing Address - Fax:
Practice Address - Street 1:6657 STATE ROUTE 179 STE C1
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-7000
Practice Address - Country:US
Practice Address - Phone:703-579-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ012188171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist