Whalio Doctors

NPI 1033346093

Liberty Traditional Charter School

Organisation Local Education Agency (LEA) Phoenix, AZ

Practice location

Address
4027 N 45th Ave, Phoenix, AZ 85031-2840
Phone
(602) 442-8791
Mailing address
6400 E Grant Rd, Tucson, AZ 85715-3860

Authorised official

Name
Reana Janes
Title
Ceo/President
Phone
(602) 442-8791

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X

Registry record

NPI
1033346093
Entity type
Organization
NPI issued
17 Jun 2009
Record last updated
17 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.