EAST VALLEY VACCINATION AND EXAMINATION CENTER
Ambulatory Health at Mesa Dr, Mesa, AZ

License number
Arizona AP4435
Category
Ambulatory Health
Type
Health Service
Owner
Name: MR. RICHARD T KUHN
Title: ADMINISTRATOR
Phone: (480) 833-0554
Address
Address
110 S Mesa Dr SUITE 2, Mesa, AZ 85210
National Provider ID: 1063751204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST VALLEY VACCINATION AND EXAMINATION CENTER, LLC

110 Mesa Dr #2, Mesa, AZ 85210

Registration:
Aug 24, 2001
State ID:
L-1000482-4
Expiration:
PERPETUAL
Member:
Richard T Kuhn (Member), 182 N Cobblestone St, Gilbert, AZ 85234 (Physical)

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