Organization
ROSEBUD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA L WALLEN LYNCH (CEO)
(602) 750-6743
Entity
Organization
Contact information
Practice address
3225 E YUCCA ST, PHOENIX, AZ 85028-2707
(602) 750-6743
Mailing address
3225 E YUCCA ST, PHOENIX, AZ 85028-2707
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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