Organization
NEBCO ASSOCIATES, INC.
Active
Other names
MTBA
Organization subpart
No
Provider details
NPI number
Authorized official
ALAINA MACIA (MANAGER)
(636) 561-5686
Entity
Organization
Contact information
Practice address
3401 E ELWOOD ST, PHOENIX, AZ 85040-1610
(602) 296-6542
(602) 437-2594
Mailing address
16 HAWK RIDGE CIR, LAKE ST LOUIS, MO 63367-1861
(480) 966-8377
(480) 736-9000
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174314
—
AZ
Enumeration date
01/29/2007
Last updated
09/24/2024
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