Good Life Inc

NPI 1417156415 - Chiropractor - 111N00000X

NPI Details
NPI 1417156415
Enumeration Date 07/11/2007
Last Updated 07/11/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAWRENCE LAWRENCE
Position VICE-PRESIDENT
Phone (623) 551-9950
Fax (623) 551-2454
Practice Location
3624 W ANTHEM WAY
SUITE C-110
ANTHEM AZ, 85086-0440, US
Phone (623) 551-9950
Fax (623) 551-2454
Business Location
3624 W ANTHEM WAY
SUITE C-110
ANTHEM AZ, 85086-0440, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Arizona
License Number AZ 7399
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According to our database, Good Life Inc NPI is 1417156415, taxonomy code is 111N00000X and license number is AZ 7399, license state is located at Arizona. Good Life Inc physically located at 3624 W Anthem Way, Anthem AZ, 85086-0440. NPI Number 1033115704 has the healthcare provider type.

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1417156415 NPI number is provided on an as is basis without warranty of any kind. 1417156415 is maintained by the National Plan & Provider Enumeration System. The contents of Good Life Inc are for informational purposes only.