Individual
DOROTHY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE
Contact information
Practice address
3732 N BIBO RD, GOLDEN VALLEY, AZ 86413-8586
(928) 565-3179
(928) 565-7986
Mailing address
3732 N BIBO RD, GOLDEN VALLEY, AZ 86413-8586
(928) 565-3179
(928) 565-7986
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8993F
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL8993F
LICENSE
AZ
Enumeration date
02/17/2016
Last updated
02/17/2016
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