Individual
MISCHELLE LATOYA GIFFITH DOWNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19918 N 65TH AVE, GLENDALE, AZ 85308-7088
(929) 789-6403
(623) 201-8546
Mailing address
19918 N 65TH AVE, GLENDALE, AZ 85308-7088
(929) 789-6403
(623) 201-8546
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13092H
AZ
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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