Organization
MUJICA DOS FRONTERAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO MUJICA (REPRESENTATIVE)
(602) 435-0518
Entity
Organization
Contact information
Practice address
110 N HIGHWAY 86, AJO, AZ 85321-1401
(602) 435-0518
Mailing address
110 N HIGHWAY 86, AJO, AZ 85321-1401
(602) 435-0518
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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