Made Whole Medical Center Llc | |
13048 W Rancho Santa Fe Blvd Avondale AZ 85392-1705 | |
(623) 300-6457 | |
(855) 300-5330 |
Full Name | Made Whole Medical Center Llc |
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Speciality | Clinic/center |
Location | 13048 W Rancho Santa Fe Blvd, Avondale, Arizona |
Authorized Official Name and Position | Caremla J Banks (OWNER) |
Authorized Official Contact | 6233006457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Made Whole Medical Center Llc 13048 W Rancho Santa Fe Blvd Avondale AZ 85392-1705 Ph: (623) 300-6457 | Made Whole Medical Center Llc 13048 W Rancho Santa Fe Blvd Avondale AZ 85392-1705 Ph: (623) 300-6457 |
NPI Number | 1245011006 |
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Provider Enumeration Date | 10/09/2023 |
Last Update Date | 10/21/2023 |
Certification Date | 10/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245011006 | NPI | - | NPPES |
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