Organization
GLENDALE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA TRUJILLO (CREDENTIALING)
(602) 889-5833
Entity
Organization
Contact information
Practice address
6320 W UNION HILLS DR, STE 1400B, GLENDALE, AZ 85308-1096
(602) 889-5833
Mailing address
6320 W UNION HILLS DR, STE 1400B, GLENDALE, AZ 85308-1096
(602) 889-5833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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