Individual
UBAH MINDINGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 W APOLLO RD, LAVEEN, AZ 85339-6911
(623) 500-1111
Mailing address
5210 W APOLLO RD, LAVEEN, AZ 85339-6911
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
BH5189
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5189
AZ DEPT OF HEALTH SERVICES
AZ
Enumeration date
07/03/2018
Last updated
07/03/2018
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