Organization
GUBARA TRANS LLC
Active
Other names
Annemarie Trujillo
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID GUBARA (OWNER)
(623) 383-0910
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE STE D321, PHOENIX, AZ 85051-1701
(623) 383-0910
Mailing address
10000 N 31ST AVE STE D321, PHOENIX, AZ 85051-1701
(623) 383-0910
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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