Organization
AZUL COSSART
Active
Other names
Azul Cossart
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AZUL EZZETTE COSSART (NON MEDICAL CAREGIVER)
(602) 525-7691
Entity
Organization
Contact information
Practice address
1905 W LAS PALMARITAS DR, 268, PHOENIX, AZ 85021-5000
(602) 525-7691
Mailing address
1905 W LAS PALMARITAS DRIVE, 268, PHOENIX, AZ 85021
(602) 525-7691
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
D01594471
AZ
Other
Enumeration date
08/16/2015
Last updated
08/19/2015
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