Individual
PREMA HELEN DIMAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
3051 SUNFLOWER CIR W, PALM SPRINGS, CA 92262-1773
(760) 416-9838
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
AT 3119
CA
314000000X
Skilled Nursing Facility
Primary
AT3119
CA
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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