Individual
MR. SEAUN DANIEL EDMONDS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3082 N. 53RD AVE. STE #260, PHOENIX, AZ 85031-8539
(480) 375-5556
Mailing address
500 N. ESTRELLA PARKWAY STE. B2 #453, GOODYEAR, AZ 85338
(480) 375-5556
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AZ
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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