Organization
ERNESTA PEARL
Active
Other names
Mesa Manor Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERNESTA DAUZ PEARL (OWNER/LICENSEE)
(602) 295-9214
Entity
Organization
Contact information
Practice address
2836 S 94TH ST, MESA, AZ 85212-1412
(602) 295-9214
(480) 219-1607
Mailing address
13614 N 89TH ST, SCOTTSDALE, AZ 85260-7653
(602) 295-9214
(480) 219-1607
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
BH-3308
AZ
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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