Individual
CHIDINMA GRACE SALAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 E VINEYARD RD, PHOENIX, AZ 85042-5793
(480) 749-8176
Mailing address
1918 E VINEYARD RD, PHOENIX, AZ 85042-5793
(480) 749-8176
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-5405477
PRIMARY CAREGIVER
AZ
Enumeration date
10/25/2017
Last updated
10/25/2017
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