Individual
ROCHELLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3118 W T RYAN LN, PHOENIX, AZ 85041-5216
(602) 621-6337
(602) 601-7727
Mailing address
3118 W T RYAN LN, PHOENIX, AZ 85041-5216
(602) 621-6337
(602) 601-7727
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
AL9669H
AZ
310400000X
Assisted Living Facility
Primary
AL10582F
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-2200444
IRS
AZ
Enumeration date
11/13/2013
Last updated
03/17/2018
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