Individual
DANIELA V BULUBENCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37509 N 16TH ST, PHOENIX, AZ 85086-9363
(623) 734-5905
(623) 691-8106
Mailing address
1808 E CIRCLE MOUNTAIN RD, NEW RIVER, AZ 85087-7592
(623) 734-5905
(623) 691-8106
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
AL8827H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-1346754
ASSISTED LIVING FACILITY
AZ
05
—
46-1346754
—
AZ
01
—
461346754
SKILLED NURSING FACILITY
AZ
Enumeration date
05/12/2021
Last updated
05/12/2021
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