BETHANY MEDICAL L.L.C
Marriage and Family Therapists at San Miguel Ave, Glendale, AZ

License number
Arizona 15873
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: VALENTINE E OKON
Title: ADMINISTRATOR
Phone: (623) 847-9800
Address
Address
5832 W. San Miguel Ave #6, Glendale, AZ 85301
National Provider ID: 1053433912
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BETHANY MEDICAL L.L.C at bizstanding.com

BETHANY MEDICAL, LLC

5270 N 59 Ave #12, Glendale, AZ 85301

Registration:
Jan 19, 2007
State ID:
L-1339167-0
Expiration:
PERPETUAL
Members:
Richard Ayiyi Sr (Manager), PO Box 3842, Glendale, AZ 85311 (Physical),Dr Terrence K Tuttle (Member), 4706 N Brk Ter, Litchfield Park, AZ 85340 (Physical)
Agent:
Warren Luccitti Esq,16016 W Tonto St, Goodyear, AZ 85338 (Physical)

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