Organization
PASSPORT HEALTH
Active
Organization
PASSPORT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA SOWARDS (DIRECTOR OF NURSING RESOURCES)
(888) 909-6551
Entity
Organization
Contact information
Practice address
3117 GEARY BLVD, SAN FRANCISCO, CA 94118-3316
(888) 909-6551
Mailing address
8324 E HARTFORD DR, SCOTTSDALE, AZ 85255-5466
(888) 909-6551
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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