Individual
ANGELITA MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6088 N 85TH AVE, GLENDALE, AZ 85305-2565
(623) 388-3514
Mailing address
16206 N 1ST DR, PHOENIX, AZ 85023-7480
(520) 730-3428
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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