Organization
PREVENCARE HEALTH SERVICES, LLC
Active
Other names
PrevenCare Health Services, LLC, PrevenCare Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK LEE ERICK LEE (OWNER)
(858) 449-3798
Entity
Organization
Contact information
Practice address
750 BARTOW DR STE 16, SIERRA VISTA, AZ 85635-1833
(858) 449-3798
Mailing address
1422 S APACHE DR, CHANDLER, AZ 85286-6300
(858) 449-3798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441076
—
AZ
Enumeration date
09/02/2020
Last updated
09/02/2020
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