Individual
OLGA BUHAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14245 W POINSETTIA DR, SURPRISE, AZ 85379-4910
(480) 399-8110
Mailing address
14245 W POINSETTIA DR, SURPRISE, AZ 85379-4910
(480) 561-8591
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11567H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101814
—
AZ
Enumeration date
12/10/2021
Last updated
11/07/2022
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