Individual
SIMONA DUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6076 W PIUTE AVE, GLENDALE, AZ 85308-5222
(602) 410-2512
Mailing address
6076 W PIUTE AVE, GLENDALE, AZ 85308-5222
(602) 410-2512
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7636H
AZ
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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