Individual
NETIECE L BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 E BASELINE RD UNIT 1025, PHOENIX, AZ 85042-7269
(602) 739-0409
Mailing address
3511 E BASELINE RD UNIT 1025, PHOENIX, AZ 85042-7269
(602) 739-0409
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
343900000X
Non-emergency Medical Transport (VAN)
—
AZ
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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