Individual
MIHAELA PRUNEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6403 W SANDRA TER, GLENDALE, AZ 85306-1625
(623) 882-6545
(623) 537-4010
Mailing address
6403 W SANDRA TER, GLENDALE, AZ 85306-1625
(623) 882-6545
(623) 537-4010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11643H
AZ
311ZA0620X
Adult Care Home Facility
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Other
Enumeration date
11/25/2020
Last updated
05/07/2021
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