Lets Be Pals LLC

NPI #1043544802 in Mesa, Arizona

Provider Information

NPI Number
1043544802
Entity Type
Organization
Organization Name
Lets Be Pals LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Sep 28, 2009
Last Updated
Sep 28, 2009

Practice Location

Address
1101 S SYCAMORE
Address 2
323
City
Mesa
State
Arizona
ZIP Code
85202-4005
Phone
(480) 497-3245

Authorized Official

Name
RANDOLPH MARSHALL HOWARD
Title
PRESIDENT
Phone
(480) 497-3245

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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