THE LITTLE CLINIC
Ambulatory Health at Cactus Rd, Phoenix, AZ

License number
Arizona AP8609
Category
Ambulatory Health
Type
Primary Care
Owner
Name: SHANNON KOVALCIK FNP
Title: REGIONAL MANAGER
Phone: (602) 501-4901
Address
Address
4204 W Cactus Rd, Phoenix, AZ 85029
National Provider ID: 1124482864
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THE LITTLE CLINIC at bizstanding.com

THE LITTLE CLINIC OF ARIZONA LLC

2338 W Royal Palm Rd STE J, Phoenix, AZ 85021

Registration:
May 4, 2007
State ID:
R-1364522-4
Entity State:
DE
Expiration:
PERPETUAL
Manager:
The Little Clinic Llc A Delaw (Manager), 8 Cadillac Dr #250, Brentwood, TN 37027 (Physical)
Agent:
Corporation Service Company,2338 W Royal Palm Rd STE J, Phoenix, AZ 85021 (Physical)

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