Jevantrad Network LLC

NPI #1710723994 in Tolleson, Arizona

Provider Information

NPI Number
1710723994
Entity Type
Organization
Organization Name
Jevantrad Network LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Jul 8, 2024
Last Updated
Jul 8, 2024

Practice Location

Address
9558 W RAYMOND ST
State
Arizona
ZIP Code
85353-4554
Phone
(401) 261-9519

Authorized Official

Name
MARION DDAMULIRA, DNP
Title
NURSE PRACTITIONER
Phone
(401) 261-9519

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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