Organization
AGRICOLA HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE BARROW (OWNER)
(404) 697-7506
Entity
Organization
Contact information
Practice address
7600 N 15TH ST STE 150, PHOENIX, AZ 85020-4305
(404) 697-7506
Mailing address
17631 MULBERRY DR, CARSON, CA 90746-7403
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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