Light House Ambulatory Clinic LLC
NPI #1730482845 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1730482845
- Entity Type
- Organization
- Organization Name
- Light House Ambulatory Clinic LLC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Dec 10, 2010
- Last Updated
- Dec 10, 2010
Practice Location
- Address
- 121 W FLORENCE BLVD
- Address 2
- SUITE B
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-4089
- Phone
- (520) 423-8334
Authorized Official
- Name
- MS. FLORENCE ADENIKE OLADOKUN, RN, FNP
- Title
- OWNER-ADMINISTRATOR
- Phone
- (520) 421-8334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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