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Honor Family Healthcare, LLC

Family Medicine in Lakeside, AZ. Organization (NPI-2).

NPI number1124479910
StatusActive
Last updated in NPPESJun 23, 2016

Details

NPI
1124479910
Entity type
Organization (NPI-2)
Legal business name
Honor Family Healthcare, LLC
Organization subpart
No
Enumeration date
Jun 23, 2016
Last updated
Jun 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineD02923AZYes

Practice location

300 W White Mountain Blvd
Suite D
Lakeside, AZ 85929-7014

Phone 928-368-4547 · Fax 928-368-4527

Mailing address

300 W White Mountain Blvd
Suite D
Lakeside, AZ 85929-7014

Phone 928-368-4547 · Fax 928-368-4527

Authorized official

Arlinda M Coronado
Managing Member
9283684547

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