Organization
LETS BE PALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH MARSHALL HOWARD (PRESIDENT)
(480) 497-3245
Entity
Organization
Contact information
Practice address
1101 S SYCAMORE, 323, MESA, AZ 85202-4005
(480) 497-3245
Mailing address
1849 E GUADALUPE RD STE C101, 166, TEMPE, AZ 85283-3281
(480) 497-3245
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
L15454205
AZ
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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