Organization
NATIVE RISING OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBOWALE M OKE ETC (MANAGING MEMBER)
(714) 933-6190
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 200, PHOENIX, AZ 85021-5478
(714) 933-6190
Mailing address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(714) 933-6190
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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