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Prairie Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tustin, California
NPI 1407233240

Prairie Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Prairie Dialysis Llc practices in Tustin, CA. The NPI Number for Prairie Dialysis Llc is 1407233240 and holds a License No. (California).

The current practice location address for Prairie Dialysis Llc is 721 W 1St St, Tustin, CA and can be reached out via phone at 714-544-0079 and via fax at 714-544-0071.

Location: 721 W 1St St, Tustin, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407233240
Provider Name
Prairie Dialysis Llc
Credential
Provider Entity Type
Organization
Address
721 W 1St St, Tustin, CA, 37027-7569
Phone Number
714-544-0079
Fax Number
714-544-0071
Provider Enumeration Date
04/30/2015
Last Update Date
04/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1407233240 05 CA
institution
Provider Business Practice Location Address Details
Address
721 W 1St St
City
Tustin
State
California
Zip
92780-2903
Phone Number
714-544-0079
Fax Number
714-544-0071
person
Provider Business Mailing Address Details
Address
721 W 1St St
City
Tustin
State
California
Zip
92780-2903
Phone Number
714-544-0079
Fax Number
714-544-0071
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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