Organization
AVANTE GARDE HEALTH CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA Y CUNDIFF-ROY APRN (OWNER)
(270) 866-4357
Entity
Organization
Contact information
Practice address
72 JOE T PETTEY DR, SUITE B, RUSSELL SPRINGS, KY 42642
(270) 866-4357
(270) 858-4957
Mailing address
PO BOX 1383, RUSSELL SPRINGS, KY 42642-1383
(270) 866-4357
(270) 858-4957
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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