Organization
INNOVATED MIND
Active
Other names
Innovated mind, Innovated mind
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KETURA JAMES (OWNER)
(832) 866-5726
Entity
Organization
Contact information
Practice address
12175 MCDOWELL RD, 1218, AVONDALE, AZ 85392
(832) 866-5726
Mailing address
12175 MCDOWELL RD, 1218, AVONDALE, AZ 85392
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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