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Individual

CAMELIA IGNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6127 W WESTWIND DR, GLENDALE, AZ 85310
(623) 879-0168
(623) 879-0168
Mailing address
6127 W WESTWIND DR, GLENDALE, AZ 85310
(623) 879-0168
(623) 879-0168

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
BH2440
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
869828
AHCCCS
AZ
Enumeration date
03/19/2007
Last updated
07/08/2007
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