# BLUE YE MAYA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477050375
- **Authorized official:** SHELL LUTTRELL (OWNER)
- **Authorized official phone:** (602) 246-4466

## Contact information

- **Practice address:** 531 E LYNWOOD ST FL 2, PHOENIX, AZ 85004-1626
- **Practice address phone:** (602) 821-1594
- **Mailing address:** 531 E LYNWOOD ST FL 2, PHOENIX, AZ 85004-1626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2018
- **Last updated:** 09/18/2018