Individual
PEARL ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12740 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-8100
(480) 581-3600
Mailing address
5805 S 129TH AVE, AVONDALE, AZ 85323-9731
(801) 762-7722
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
249604
AZ
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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