Bobbi-Jo'S Wellness For Life, LLC
Family Medicine in Surprise, AZ. Organization (NPI-2).
NPI number1548848799
StatusActive
Last updated in NPPESAug 25, 2021
Details
- NPI
- 1548848799
- Entity type
- Organization (NPI-2)
- Legal business name
- Bobbi-Jo'S Wellness For Life, LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2021
- Certification date
- Aug 25, 2021
- Last updated
- Aug 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
11683 W Cactus Wren CtSurprise, AZ 85378-2568
Phone 315-374-2570
Mailing address
11683 W Cactus Wren CtSurprise, AZ 85378-2568
Phone 315-374-2570
Authorized official
Bobbi-Jo Campbell
Proprietor
3153742570
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