Provider Demographics
NPI:1760939086
Name:GU3 INDUSTRIES
Entity Type:Organization
Organization Name:GU3 INDUSTRIES
Other - Org Name:DESERT BREEZE DURABLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAGLE-GUTHRIE
Authorized Official - Suffix:
Authorized Official - Credentials:CCSH, RPSGT, RST
Authorized Official - Phone:480-290-8229
Mailing Address - Street 1:38444 N JOANN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-4027
Mailing Address - Country:US
Mailing Address - Phone:480-290-8229
Mailing Address - Fax:480-393-7353
Practice Address - Street 1:38444 N JOANN WAY
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-4027
Practice Address - Country:US
Practice Address - Phone:480-290-8229
Practice Address - Fax:480-393-7353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21113396332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies