| Annemarie Trujillo | |
|
10000 N 31st Ave Ste D321 Phoenix AZ 85051-1701 | |
| (623) 383-0910 | |
| Not Available |
| Full Name | Annemarie Trujillo |
|---|---|
| Speciality | Clinic/center |
| Location | 10000 N 31st Ave Ste D321, Phoenix, Arizona |
| Authorized Official Name and Position | Khalid Gubara (OWNER) |
| Authorized Official Contact | 6233830910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annemarie Trujillo 10000 N 31st Ave Ste D321 Phoenix AZ 85051-1701 Ph: (623) 383-0910 | Annemarie Trujillo 10000 N 31st Ave Ste D321 Phoenix AZ 85051-1701 Ph: (623) 383-0910 |
| NPI Number | 1649043803 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649043803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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