Organization
LAVEEN ELEMENTARY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI CANISALES (STUDENT SERVICES ADMIN. ASST.)
(602) 237-9100
Entity
Organization
Contact information
Practice address
9401 S 51ST AVE, LAVEEN, AZ 85339-2710
(602) 237-9100
Mailing address
9401 S 51ST AVE, LAVEEN, AZ 85339-2710
(602) 237-9100
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN162162
AZ
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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