| Provider Type: | Other Service Providers |
| Provider Classification: | Homeopath |
| Definition of Specialization: | |
| Address: |
1321 E Northern Ave Phoenix, AZ 85020-4218 |
| Phone: | (602) 943-2940 |
| Fax: | (602) 997-2494 |
| Authorized Official: | Rose, John |
| Authorized Official Position: | President |
| Authorized Official Phone: | (602) 943-2940 |
