Individual
ROBERT JAY VANNASDALE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5131 E CLOUD RD, CAVE CREEK, AZ 85331-9063
(520) 252-2330
Mailing address
53626 W STARGAZER RD, MARICOPA, AZ 85139-2750
(520) 252-2330
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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