Individual
GIGI MELEANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15341 N 183RD DR, SURPRISE, AZ 85388-7622
(602) 446-0098
Mailing address
15341 N 183RD DR, SURPRISE, AZ 85388-7622
(602) 446-0098
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL7875H
AZ
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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