Individual
RONALD JINGCO CALAGUAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2432 W PORTOBELLO AVE, MESA, AZ 85202-7871
(480) 793-7971
(480) 793-7971
Mailing address
2432 W PORTOBELLO AVE, MESA, AZ 85202-7871
(480) 793-7971
(480) 793-7971
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11467H
AZ
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11467H
AL LICENSE
AZ
Enumeration date
10/18/2020
Last updated
10/18/2020
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