MLM FAMILY LLC

PHOENIX, AZ
NPI1245648088
Entity TypeOrganization
Authorized ContactLANA KHATIB
Provider
602-339-3669
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  42064)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: AZ  5212)
Enumeration Date2014-07-24
Last Update Date2014-07-24
Business Address
MLM FAMILY LLC
15410 S MOUNTAIN PKWY SUITE 105
PHOENIX, AZ 85044-6691
Phone number: 602-339-3669
Mailing Address
MLM FAMILY LLC
2031 E GLENHAVEN DR
PHOENIX, AZ 85048-8122
Phone number: 602-339-3669