Organization
ALLIANCE WITH THE COVENANT OF THE TRINITY ARIZONA INC
Active
Organization
ALLIANCE WITH THE COVENANT OF THE TRINITY ARIZONA INC
Active
Other names
ACT Medical Group Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
ZANDRA GONZALES (CFO/COO)
(213) 709-0777
Entity
Organization
Contact information
Practice address
2 N CENTRAL AVE FL 18, PHOENIX, AZ 85004-2322
(213) 709-0777
Mailing address
11245 DELANO ST, NORTH HOLLYWOOD, CA 91606-4219
(213) 709-0777
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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