Individual
BRENDA TAFOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9130 N 94TH AVE, PEORIA, AZ 85345-6341
(623) 251-6590
Mailing address
711 E MISSOURI AVE, STE 300, PHOENIX, AZ 85014-2841
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
5296315
AZ
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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