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Organization

AMH SERIES II, HI, LLC

Active
Other names
Ageless Men's Health
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE WILLIAMS (CREDENTIALING)
(901) 757-5783
Entity
Organization

Contact information

Practice address
415 ULUNIU ST STE D, KAILUA, HI 96734-2503
(901) 757-5783
Mailing address
3085 FOUNTAINSIDE DR STE 107, GERMANTOWN, TN 38138-7842
(901) 757-5783

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/18/2020
Last updated
02/18/2020
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