Individual
PEGGY NYALITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3532 W BOSTON ST, CHANDLER, AZ 85226-3813
(302) 898-6406
Mailing address
3532 W BOSTON ST, CHANDLER, AZ 85226-3813
(302) 898-6406
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
BH4893
AZ
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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