Organization
GLENDALE UNION HIGH SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA CONTRERAS (MEDICAID COORDINATOR)
(635) 435-6033
Entity
Organization
Contact information
Practice address
6602 N 75TH AVE, GLENDALE, AZ 85303-3504
(623) 435-6100
Mailing address
6602 N 75TH AVE, GLENDALE, AZ 85303-3504
(623) 435-6100
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
RN188626
AZ
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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