Khadjenoury LLC

NPI #1508097049 in Page, Arizona

Provider Information

NPI Number
1508097049
Entity Type
Organization
Organization Name
Khadjenoury LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jul 31, 2009
Last Updated
Jul 31, 2009

Practice Location

Address
1801 N NAVAJO DRIVE
Address 2
LAKE VIEW ELEMENTARY
City
Page
State
Arizona
ZIP Code
86040
Phone
(520) 907-6890

Authorized Official

Name
SIAMAK KHADJENOURY
Title
CEO
Phone
(520) 907-6890

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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