Organization
CRUCIALIST ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WALKER (VICE PRESIDENT OF OPERATIONS)
(904) 329-1942
Entity
Organization
Contact information
Practice address
4230 PABLO PROFESSIONAL CT STE 103, JACKSONVILLE, FL 32224-3223
(904) 329-1942
Mailing address
4230 PABLO PROFESSIONAL CT STE 103, JACKSONVILLE, FL 32224-3223
(904) 329-1942
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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