SOLOMON TABE

LAVEEN, AZ
NPI1336913847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy323P00000X Psychiatric Residential Treatment Facility
(Licence: AZ  BH8993)
Enumeration Date2023-11-14
Last Update Date2023-11-16
Business Address
SOLOMON TABE
6838 W PEDRO LN
LAVEEN, AZ 85339-4702
Phone number: 301-693-8818
Mailing Address
SOLOMON TABE
6838 W PEDRO LN
LAVEEN, AZ 85339-4702
Phone number: 301-693-8818
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