Organization · NPI-2

Equally One

Point of Service · Phoenix, AZ

NPI number1912444977
StatusActive
Last updated in NPPESJan 27, 2017

Details

NPI
1912444977
Entity type
Organization (NPI-2)
Legal business name
Equally One
Organization subpart
No
Enumeration date
Jan 27, 2017
Last updated
Jan 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service214897AZYes

Practice location

3102 N 39th Ave
Phoenix, AZ 85019-4102

Phone 480-619-8947

Mailing address

3102 N 39th Ave
Phoenix, AZ 85019-4102

Phone 480-619-8947

Authorized official

Sabrina R Brown
Sole Owner
4806198947

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