Organization
ALLERGY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LEE LETZ DNP (CEO)
(650) 924-1174
Entity
Organization
Contact information
Practice address
20518 W WHITE ROCK RD, BUCKEYE, AZ 85396-7750
(650) 924-1174
Mailing address
20518 W WHITE ROCK RD, BUCKEYE, AZ 85396-7750
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3102
AZ
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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