Individual
LIZBETH BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 N 4TH ST, AVONDALE, AZ 85323-1638
(623) 824-8263
Mailing address
802 N 4TH ST, AVONDALE, AZ 85323-1638
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1000044958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277801657
UNITED HEALTHCARE
AZ
Enumeration date
05/19/2015
Last updated
05/19/2015
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