AGAVE THERAPEUTICS PLLC

PHOENIX, AZ
NPI1215586664
Doing Business AsAGAVE THERAPEUTICS
Entity TypeOrganization
Authorized ContactJANET KAY OLSON
Nurse Practitioner
708-308-0852
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center, Health Services
Enumeration Date2019-09-09
Last Update Date2019-09-09
Business Address
AGAVE THERAPEUTICS PLLC
11022 S 51ST ST STE 101
PHOENIX, AZ 85044-1789
Phone number: 708-308-0852
Mailing Address
AGAVE THERAPEUTICS PLLC
11022 S 51ST ST STE 101
PHOENIX, AZ 85044-1789
Phone number: 708-308-0852