SAN JOSE HEALTH CLINIC, LLC

SAN LUIS, AZ
NPI1770753162
Entity TypeOrganization
Authorized ContactJOSE M PISCOYA
President
928-722-6098
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  25569)
Enumeration Date2008-03-03
Last Update Date2008-03-03
Business Address
SAN JOSE HEALTH CLINIC, LLC
1962 E JUAN SANCHEZ BLVD STE 1
SAN LUIS, AZ 85349
Phone number: 928-722-6098
Mailing Address
SAN JOSE HEALTH CLINIC, LLC
PO BOX 1689
SAN LUIS, AZ 85349-1689
Phone number: 928-722-6098
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