Organization
WADDELL FAMILY CARE PLLC
Active
Other names
Waddell Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
KANDY LIZZETH MEDINA PEREZ FNP-C (OWNER/PROVIDER)
(623) 512-8308
Entity
Organization
Contact information
Practice address
13755 N LITCHFIELD RD STE 105, SURPRISE, AZ 85379-4288
(623) 512-8308
(949) 437-2917
Mailing address
7908 N COTTON LN, WADDELL, AZ 85355-9751
(623) 512-8308
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
08/21/2024
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