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Individual

RABECA VATAMANIUC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CARE GIVER

Contact information

Practice address
11151 W LILY MCKINLEY DR, SURPRISE, AZ 85378
(623) 972-4728
(623) 972-1467
Mailing address
11151 W LILY MCKINLEY DR, SURPRISE, AZ 85378
(623) 972-4728
(623) 972-1467

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AL8491H
AZ

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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