Organization
DAISY FAMILY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA VENETTA DAVIS NP (OWNER)
(602) 314-6960
Entity
Organization
Contact information
Practice address
4150 W PEORIA AVE STE 121, PHOENIX, AZ 85029-3951
(602) 314-6960
Mailing address
4150 W PEORIA AVE STE 121, PHOENIX, AZ 85029-3951
(602) 314-6960
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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