Individual
LIBORIO LEON GANGEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15266 N 52ND AVE, GLENDALE, AZ 85306-3405
(480) 251-4815
Mailing address
15266 N 52ND AVE, GLENDALE, AZ 85306-3405
(480) 251-4815
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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