Individual
LINDA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36876 W. MATTINO LANE, MARICOPA, AZ 85138
(209) 205-5998
Mailing address
36876 W MATTINO LN, MARICOPA, AZ 85138-4903
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5131
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5131
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
06/08/2017
Last updated
06/08/2017
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