Individual
LUCIA SOMODEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20493 N 91ST DR, PEORIA, AZ 85382-5271
(602) 716-1189
(623) 939-1339
Mailing address
20493 N 91ST DR, PEORIA, AZ 85382-5271
(602) 716-1189
(623) 939-1339
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5800H
AZ
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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