Organization
MEDIPRO HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESITA M TADAYA BS, CMA(AAMA), ALFM (ADMINISTRATIVE DIRECTOR)
(623) 330-0357
Entity
Organization
Contact information
Practice address
2659 W GUADALUPE RD, BLDG. C-116 AND 119, MESA, AZ 85202-7254
(623) 330-0357
(623) 374-2673
Mailing address
2659 W GUADALUPE RD, BLDG. C-116 AND 119, MESA, AZ 85202-7254
(623) 330-0357
(623) 374-2673
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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