Provider First Line Business Practice Location Address:
3320 N 2ND STREET
Provider Second Line Business Practice Location Address:
AKDHC, LLC
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-200-8288
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2008