Provider Demographics
NPI:1992962310
Name:ZOBEL, JUDY ROSITTIA (LAC)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:ROSITTIA
Last Name:ZOBEL
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:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:YARNELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85362
Mailing Address - Country:US
Mailing Address - Phone:928-684-2917
Mailing Address - Fax:928-684-2367
Practice Address - Street 1:519 ROSE LANE
Practice Address - Street 2:
Practice Address - City:WICKENBURG
Practice Address - State:AZ
Practice Address - Zip Code:85390
Practice Address - Country:US
Practice Address - Phone:928-684-2286
Practice Address - Fax:928-684-2367
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist