JEVANTRAD NETWORK LLC; NPI #1710723994

Contact Information

JEVANTRAD NETWORK LLC

9558 W RAYMOND ST
TOLLESON, AZ 85353-4554

Phone: 401-261-9519
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for JEVANTRAD NETWORK LLC

NPI Number	`1710723994`
LBN Legal business name	JEVANTRAD NETWORK LLC
Authorized official	MARION DDAMULIRA - (NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/08/2024
Last updated	07/08/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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