Individual
JOSEPHINA ANGHEAR THEIL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12521 W CORRINE DR, EL MIRAGE, AZ 85335-6213
(480) 652-0718
Mailing address
8245 N 27TH AVE APT 234, PHOENIX, AZ 85051-6375
(480) 652-0718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
EM4683
FL
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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