Individual
MS. MANUELA TILVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8546 W JOAN DE ARC AVE, PEORIA, AZ 85381-4878
(623) 606-8975
(623) 486-4680
Mailing address
8546 W JOAN DE ARC AVE, PEORIA, AZ 85381-4878
(623) 334-1827
(623) 486-4680
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4125H
AZ
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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