Organization
AGAVE THERAPEUTICS PLLC
Active
Other names
Agave Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
JANET KAY OLSON NP (NURSE PRACTITIONER)
(708) 308-0852
Entity
Organization
Contact information
Practice address
11022 S 51ST ST STE 101, PHOENIX, AZ 85044-1789
(708) 308-0852
(480) 383-6371
Mailing address
11022 S 51ST ST STE 101, PHOENIX, AZ 85044-1789
(708) 308-0852
(480) 383-6371
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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