Individual
SAB EDWARDS
Active
Individual
SAB EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
SLH10671
AZ
251S00000X
Community/Behavioral Health Agency
Primary
SLH10671
AZ
253J00000X
Foster Care Agency
SLH10671
AZ
347C00000X
Private Vehicle
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132133
—
AZ
Enumeration date
06/09/2023
Last updated
02/28/2024
Update your record
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