Provider Demographics
NPI:1952012932
Name:ZAMORA ACUPUNCTURE LLC
Entity type:Organization
Organization Name:ZAMORA ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:602-935-9956
Mailing Address - Street 1:17787 N PERIMETER DR STE A101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5454
Mailing Address - Country:US
Mailing Address - Phone:602-935-9956
Mailing Address - Fax:
Practice Address - Street 1:17787 N PERIMETER DR STE A101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5454
Practice Address - Country:US
Practice Address - Phone:602-935-9956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty