Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2009-10-08
- Last updated
- 2009-10-08
Specialties
Licenses
- License AZ
- 36353
Location
- Practice location
- 1840 W APACHE TRL
- City
- APACHE JUNCTION AZ
- Postal code
- 851203728
- Phone
- 480-982-3337
Organization contact
- Name
- JAYSHRI GAMOTH
- Title
- Owner
- Phone
- 5203742462
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.