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Organization
SPECIALITY CUSTOM CARE, LLC
Active
Organization
SPECIALITY CUSTOM CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ALBERINO-CRAIG NP (OWNER)
(216) 470-1069
Entity
Organization
Contact information
Practice address
2343 W SHACKLETON DR, ANTHEM, AZ 85086-2345
(216) 470-1069
Mailing address
2343 W SHACKLETON DR, ANTHEM, AZ 85086-2345
(216) 470-1069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP-3689
AZ
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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