Pops Provisional Place LLC
NPI #1952820557 in Buckeye, Arizona
Provider Information
- NPI Number
- 1952820557
- Entity Type
- Organization
- Organization Name
- Pops Provisional Place LLC
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 14, 2017
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- MRS. MARCIA DIANNE CRAYTON, LPN
- Title
- ADMINISTRATOR
- Phone
- (623) 693-3112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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