FULLY BLOOMED LLC

PHOENIX, AZ
NPI1528938057
Entity TypeOrganization
Authorized ContactZAQUEENA SHAUNTA COLEMAN
Nurse Practitioner
602-661-3891
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2025-11-10
Last Update Date2025-11-10
Business Address
FULLY BLOOMED LLC
515 W. BUCKEYE RD. STE 406
PHOENIX, AZ 85003
Phone number: 602-661-3891
Mailing Address
FULLY BLOOMED LLC
2942 N 24TH ST STE 115
PHOENIX, AZ 85016-7849
Phone number: 602-661-3891
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