Individual
VIOLETA FODOREAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5941 W AUDREY LN, GLENDALE, AZ 85308-0702
(602) 298-5551
(623) 321-5968
Mailing address
5941 W AUDREY LN, GLENDALE, AZ 85308-0702
(602) 298-5551
(623) 321-5968
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
AL4554H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119946
AHCCCS ID
AZ
Enumeration date
02/17/2010
Last updated
02/17/2010
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