Individual
MARIANA TIRSOREANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19027 N 73RD DR, GLENDALE, AZ 85308-5869
(623) 362-2657
Mailing address
19027 N 73RD DR, GLENDALE, AZ 85308-5869
(623) 362-2657
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9645H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420626
—
AZ
Enumeration date
05/17/2022
Last updated
05/17/2022
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