Overview
Name: DIAMOND GIRL ROCK DYNASTY NONPROFIT MUSIC ORGANIZATION
Specialty: Meals Provider
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Other Service Providers
Classification: Meals
Specialization: .
Definition of Specialty: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: DIAMOND GIRL ROCK DYNASTY NONPROFIT MUSIC ORGANIZATION,7552 W WELDON AVE,PHOENIX,AZ,850333721,US
Mailing Address: DIAMOND GIRL ROCK DYNASTY NONPROFIT MUSIC ORGANIZATION,7552 W WELDON AVE,PHOENIX,AZ,850333721,US
Contact #
Practice location phone #: 4802803707
Practice location fax #:
Mailing address Phone #: 4802803707
Mailing Address fax #:
Authorized official Name/Telephone #:ANTONETTE, PATRICE, PEARSON, PROGRAM DIRECTOR 6232687813
Misc
Date NPI was obtained: 01/25/2022
Last data data was updated: 01/25/2022
Insurances: