Individual
MARGARITA ERDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 S WALNUT DR, PRESCOTT, AZ 86303-5805
(949) 214-7670
Mailing address
620 S WALNUT DR, PRESCOTT, AZ 86303-5805
(949) 214-7670
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AZ
385HR2065X
Child Physical Disabilities Respite Care
—
AZ
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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