Organization
ZYON HOME CARE PHYSICIAN LLC
Active
Other names
ZYON HOME CARE PHYSICIAN LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAIDAMOYO WAGONEKA (DIRECTOR)
(214) 664-2830
Entity
Organization
Contact information
Practice address
7007 E MAIN ST, MESA, AZ 85207-8204
(214) 664-2830
Mailing address
103 COTTONWOOD ST # 824, MORENCI, AZ 85540-9634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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