SAN JOSE INTEGRATED CLINIC LLC

SAN LUIS, AZ
NPI1386287753
Entity TypeOrganization
Authorized ContactCLARISSE VANESSA NGUEHANANA
CEO
928-722-6098
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2019-10-17
Last Update Date2019-10-17
Business Address
SAN JOSE INTEGRATED CLINIC LLC
2000 E JUAN SANCHEZ BLVD
SAN LUIS, AZ 85336-0481
Phone number: 928-722-6098
Mailing Address
SAN JOSE INTEGRATED CLINIC LLC
2575 W 24TH ST APT 168
YUMA, AZ 85364-6066
Phone number: 928-722-6098
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