Individual
GHEORGHE PATRUTESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16134 N 72ND LN, PEORIA, AZ 85382-4937
(623) 776-7460
(623) 776-7460
Mailing address
16134 N 72ND LN, PEORIA, AZ 85382-4937
(602) 370-6263
(623) 776-7460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10530H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817449
—
AZ
Enumeration date
11/03/2020
Last updated
11/03/2020
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