NPI | 1689110314 |
---|---|
Other Name | TRUSTED CARE NORTH VALLEY AZ, LLC |
Entity Type | Organization |
Authorized Contact | WAYNE DESTEFANO Owner 602-595-5027 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2017-01-19 |
Last Update Date | 2020-01-31 |