Organization
FAB FASHION LLC
Active
Other names
Life Quality Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE BETH MCWHORTER (OWNER, PRESIDENT)
(480) 580-6215
Entity
Organization
Contact information
Practice address
8519 E MARIPOSA DR, SCOTTSDALE, AZ 85251-1828
(480) 586-7540
Mailing address
8519 E MARIPOSA DR, SCOTTSDALE, AZ 85251-1828
(480) 586-7540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
21026027
AZ
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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