| Mbk | |
|
4425 E Agave Rd Ste 102 Phoenix AZ 85044-0620 | |
| (480) 265-8816 | |
| Not Available |
| Full Name | Mbk |
|---|---|
| Speciality | Peer Specialist |
| Location | 4425 E Agave Rd Ste 102, Phoenix, Arizona |
| Authorized Official Name and Position | Jacqueline Perrie (ADMINISTRATOR) |
| Authorized Official Contact | 4802658816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mbk 4425 E Agave Rd Ste 102 Phoenix AZ 85044-0620 Ph: (480) 265-8816 | Mbk 4425 E Agave Rd Ste 102 Phoenix AZ 85044-0620 Ph: (480) 265-8816 |
| NPI Number | 1205600541 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205600541 | NPI | - | NPPES |
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