NPI 1881922086
Etipser L.L.C.
Practice location
- Address
- 405 W Southern Ave Suite #3, Tempe, AZ 85282-4500
- Phone
- (480) 612-4985
- Fax
- (480) 636-8504
Authorised official
- Name
- Lisa Lynn Shamah
- Title
- Administrator
- Phone
- (480) 612-4985
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1881922086
- Entity type
- Organization
- NPI issued
- 27 Nov 2009
- Record last updated
- 27 Nov 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.