| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1699437509 | WHOLESOME, LLC | 2236 W. BETHANY HOME | PHOENIX | AZ | 850151934 | |||
| 1679541957 | ALASALY | HOUSAM | 2236 W BETHANY HOME RD STE 2 | PHOENIX | AZ | 850151934 | ||
| 1063404531 | HABIB-KHAZEN | FADIA | K | 2236 W BETHANY HOME RD | PHOENIX | AZ | 850151934 |