Sycamoresoul L.l.c.

NPI #1356679286 in Sedona, Arizona

Provider Information

NPI Number
1356679286
Entity Type
Organization
Organization Name
Sycamoresoul L.l.c.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 4, 2009
Last Updated
Dec 4, 2009

Practice Location

Address
55 SHELBY DR
Address 2
A-3
City
Sedona
State
Arizona
ZIP Code
86336-5300
Phone
(928) 282-3535

Authorized Official

Name
MR. STEVE W LIVANAVAGE JR.
Title
PRESIDENT
Phone
(928) 282-3535

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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