Individual
DRANETTE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6531 W VOGEL AVE, GLENDALE, AZ 85302-2817
(623) 934-4758
Mailing address
6531 W VOGEL AVE, GLENDALE, AZ 85302-2817
(623) 934-4758
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
10699
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
985723
—
AZ
Enumeration date
01/23/2007
Last updated
07/09/2007
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