Individual
MRS. JANICE STAUDTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1296 S SKYLINE DR, GLOBE, AZ 85501-2062
(928) 402-9152
Mailing address
1296 S SKYLINE DR, GLOBE, AZ 85501-2062
(928) 402-9152
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
XXX
AZ
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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