Organization
EQUALLY ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA R BROWN (SOLE OWNER)
(480) 619-8947
Entity
Organization
Contact information
Practice address
3102 N 39TH AVE, PHOENIX, AZ 85019-4102
(480) 619-8947
Mailing address
3102 N 39TH AVE, PHOENIX, AZ 85019-4102
(480) 619-8947
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
214897
AZ
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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