Organization
AGRICOLA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE BARROW (OWNER)
(404) 697-7506
Entity
Organization
Contact information
Practice address
10450 N 74TH ST STE 160, SCOTTSDALE, AZ 85258-1051
(404) 697-7506
Mailing address
10450 N 74TH ST STE 160, SCOTTSDALE, AZ 85258-1051
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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