Search › Arizona › 175F00000X
Rebecca Gustavson
NPI 1508247164 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1932 N Mesa Dr Unit 9
Mesa, AZ 85201 - Phone
- (707) 540-1456
- Organisation at this address
- The Source Naturopathic Medical Clinic
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona