Organization
AVANTA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAM TEWELDEMEDHIN YEGHIN (OWNER)
(623) 999-0764
Entity
Organization
Contact information
Practice address
10513 W POMO ST, TOLLESON, AZ 85353-1160
(623) 999-0764
Mailing address
10513 W POMO ST, TOLLESON, AZ 85353-1160
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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