Individual
MRS. MARLYN LL JOAQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 W ROSEMONTE DR, PHOENIX, AZ 85027-5444
(623) 440-6946
(623) 440-6946
Mailing address
1349 W ROSEMONTE DR, PHOENIX, AZ 85027-5444
(623) 440-6946
(623) 440-6946
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11600H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11600H
AZDHS
AZ
Enumeration date
09/04/2020
Last updated
09/04/2020
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