Search › Arizona › 310400000X
Fon Embola
NPI 1366102352 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2841 E Tyson St
Chandler, AZ 85225 - Phone
- (602) 769-4053
- Organisation at this address
- Trinity Behavioral Health Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona