National Provider Identifier Database

JEVANTRAD NETWORK LLC
Health Service


Contact Information

JEVANTRAD NETWORK LLC
9558 W RAYMOND ST
TOLLESON, AZ85353-4554
Phone: 401-261-9519
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for JEVANTRAD NETWORK LLC

NPI Number 1710723994
Legal business name
LBN
JEVANTRAD NETWORK LLC
Authorized official MARION DDAMULIRA - (NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 07/08/2024
Last updated 07/08/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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