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Organization
CARECETERA HEALTH NETWORK LLC CARECETERA
Active
Organization
CARECETERA HEALTH NETWORK LLC CARECETERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDINE U BLAISE FNP (OWNER)
(602) 465-9675
Entity
Organization
Contact information
Practice address
2942 N 24TH ST, PHOENIX, AZ 85016-7844
(602) 465-9675
Mailing address
11 ORBIT LN, SAN PEDRO, CA 90732-4461
(602) 465-9675
Taxonomy
Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
NULL
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
04/17/2023
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