Individual
NELIA C SURGENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1764 W SAN TAN ST, CHANDLER, AZ 85224-8236
(480) 323-0420
(480) 659-2766
Mailing address
601 S SUNSET CT, CHANDLER, AZ 85225-6810
(480) 323-0420
(480) 659-2766
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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