AGAVE SURGICAL SERVICES LLC

MESA, AZ
NPI1477026862
Entity TypeOrganization
Authorized ContactBERNADETTE ANDALKAR
Owner
520-490-8368
Organization Subpart ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
Enumeration Date2019-01-08
Last Update Date2019-01-08
Business Address
AGAVE SURGICAL SERVICES LLC
2045 S VINEYARD STE 142
MESA, AZ 85210-6891
Phone number: 480-330-6010
Mailing Address
AGAVE SURGICAL SERVICES LLC
2045 S VINEYARD STE 142
MESA, AZ 85210-6891
Phone number: 480-330-6010
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