NPI 1134304637
Rosebud LLC
Practice location
- Address
- 3225 E Yucca St, Phoenix, AZ 85028-2707
- Phone
- (602) 750-6743
Authorised official
- Name
- Pamela L Wallen Lynch
- Title
- Ceo
- Phone
- (602) 750-6743
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1134304637
- Entity type
- Organization
- NPI issued
- 2 Jan 2008
- Record last updated
- 2 Jan 2008
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.