Individual
RAQUEL BUNAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29774 N 121ST DR, PEORIA, AZ 85383-3497
(623) 703-7503
Mailing address
29774 N 121ST DR, PEORIA, AZ 85383-3497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6912
AZ
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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