AFC OF QUEEN CREEK, PLLC
Suppliers at Combs Rd, San Tan Valley, AZ

License number
Arizona AP4940
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: NATHALIE T. ALFONSO
Title: MEDICAL DIRECTOR
Phone: (480) 882-9105
Address
Address 2
85 W Combs Rd SUITE 109, San Tan Valley, AZ 85140
2980 N Beverly Glen Cir SUITE 301, Los Angeles, CA 90077
National Provider ID: 1811328560
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AFC OF QUEEN CREEK, PLLC at bizstanding.com

AFC OF QUEEN CREEK, PLLC

85 W Combs Rd STE 109, San Tan Valley, AZ 85140

Registration:
Apr 5, 2013
State ID:
P-1838146-9
Expiration:
PERPETUAL
Members:
Chirowall Inc (Member), 1839 S Alma School Rd STE 354, Mesa, AZ 85210 (Physical),Dr Josh Bock Consulting Llc (Member), 1839 S Alma School Rd STE 354, Mesa, AZ 85210 (Physical)
Agent:
Ron Knott,10830 N 71 Pl #105, Scottsdale, AZ 85254 (Physical)

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