Provider Demographics
NPI:1679696751
Name:VAN MASTRIGT-DE GRAAFF, SONJA (NMD, PHD)
Entity type:Individual
Prefix:DR
First Name:SONJA
Middle Name:
Last Name:VAN MASTRIGT-DE GRAAFF
Suffix:
Gender:F
Credentials:NMD, PHD
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:DE GRAAFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NMD, PHD
Mailing Address - Street 1:12320 N 136TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-2311
Mailing Address - Country:US
Mailing Address - Phone:480-314-2333
Mailing Address - Fax:480-314-2252
Practice Address - Street 1:12320 N 136TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-2311
Practice Address - Country:US
Practice Address - Phone:480-314-2333
Practice Address - Fax:480-314-2252
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ98-536175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath