Individual
MRS. BENDU BILITY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7404 W SOUTHGATE AVE, PHOENIX, AZ 85043-2057
(480) 228-0896
Mailing address
7404 W SOUTHGATE AVE, PHOENIX, AZ 85043-2057
(480) 228-0896
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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