| Marva One Llc | |
|
2334 W Fetlock Trl Phoenix AZ 85085-5767 | |
| (602) 418-5115 | |
| (623) 388-3835 |
| Full Name | Marva One Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2334 W Fetlock Trl, Phoenix, Arizona |
| Authorized Official Name and Position | Ioan John Avram (OWNER / MEMBER) |
| Authorized Official Contact | 6024185115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marva One Llc 2334 W Fetlock Trl Phoenix AZ 85085-5767 Ph: (602) 418-5115 | Marva One Llc 2334 W Fetlock Trl Phoenix AZ 85085-5767 Ph: (602) 418-5115 |
| NPI Number | 1225556772 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225556772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH5228 (Arizona) | Primary |
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