Ccfx,llc

NPI 1134473416 - Clinic/Center - 261QX0100X

NPI Details
NPI 1134473416
Enumeration Date 11/07/2012
Last Updated 11/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHARYLE LOIS CHARYLE
Position CEO
Phone (602) 206-6999
Fax
Practice Location
2622 E JAVELINA CIR
MESA AZ, 85204-7127, US
Phone (602) 206-6999
Fax
Business Location
2622 E JAVELINA CIR
MESA AZ, 85204-7127, US
Phone (602) 206-6999
Fax
Toxanomy
Taxonomy Code 261QX0100X
License State
License Number
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According to our database, Ccfx,llc NPI is 1134473416, taxonomy code is 261QX0100X Ccfx,llc physically located at 2622 E Javelina Cir, Mesa AZ, 85204-7127. NPI Number 1033115704 has the healthcare provider type.

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1134473416 NPI number is provided on an as is basis without warranty of any kind. 1134473416 is maintained by the National Plan & Provider Enumeration System. The contents of Ccfx,llc are for informational purposes only.