Individual
MARY JANE GOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
337 LOLOMA ST, TUBA CITY, AZ 86045-0015
(928) 283-4771
(928) 433-3757
Mailing address
PO BOX 2501, TUBA CITY, AZ 86045-2501
(928) 640-1118
(928) 433-3757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
380918
AZ
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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