POPS PROVISIONAL PLACE LLC

Licensed Practical Nurse

Active Organization
NPI: 1952820557

Practice Address

29741 W AMELIA AVE
Buckeye, AZ 85396

Phone: (623) 693-3112

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 044613 (AZ)

Frequently Asked Questions

NPI 1952820557 is the National Provider Identifier for POPS PROVISIONAL PLACE LLC, a Licensed Practical Nurse provider located in Buckeye, AZ. This NPI was enumerated on September 14, 2017.

Quick Facts

NPI
1952820557
Type
Organization
Enumerated
Sep 14, 2017
Last Updated
Jul 21, 2022

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