Individual
LAURA JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MILE WEST OF JEDDITO CHAPTER, KEAMS CANYON, AZ 86034-1265
(928) 738-2318
Mailing address
PO BOX 1265, KEAMS CANYON, AZ 86034-1265
(928) 738-2318
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
567860
STATE PROVIDER ID
AZ
Enumeration date
05/29/2007
Last updated
09/11/2025
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