Individual
MS. VIRGINIA WAITITU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
8214 S 44TH GLN, LAVEEN, AZ 85339-5472
(978) 846-9740
Mailing address
8214 S 44TH GLN, LAVEEN, AZ 85339-5472
(978) 846-9740
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
AL-13224H
AZ
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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