Individual
AMELIA REAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPP, LNA
Contact information
Practice address
11022 S 51ST ST STE 100, PHOENIX, AZ 85044-1789
(480) 912-1199
Mailing address
11022 S 51ST ST STE 100, PHOENIX, AZ 85044-1789
(480) 912-1199
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
WB4460
AZ
164W00000X
Licensed Practical Nurse
LNA1000031276
AZ
251K00000X
Public Health or Welfare Agency
Primary
WB4461
AZ
261QC1800X
Corporate Health Clinic/Center
26355517
AZ
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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