Organization
A BREATH FOR LIFE LLC
Active
Other names
Serenity A Breath for Life
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE RYDER (OWNER)
(602) 615-4636
Entity
Organization
Contact information
Practice address
5626 N 51ST AVE, GLENDALE, AZ 85301-6034
(623) 930-0887
Mailing address
PO BOX 217, WADDELL, AZ 85355-0217
(602) 615-4636
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
01/13/2020
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