Individual provider · NPI-1

Levon J Howard

Case Manager/Care Coordinator · Glendale, AZ

NPI number1790390912
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1790390912
Entity type
Individual (NPI-1)
Name
Levon J Howard
Sex
Male
Sole proprietor
No
Enumeration date
Sep 14, 2020
Certification date
Sep 14, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator10374473AZYes

Practice location

5325 N 61st Ave
Glendale, AZ 85301-6613

Phone 602-386-7364

Mailing address

3170 Stillwater Dr
Prescott, AZ 86305-7151

Phone 928-777-3280

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