Individual
FLERIDA CABATIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27413 N 23RD DR, PHOENIX, AZ 85085-4708
(623) 582-0113
(623) 516-0847
Mailing address
27413 N 23RD DR, PHOENIX, AZ 85085-4708
(623) 582-0113
(623) 516-0847
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL5762H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092108
—
AZ
Enumeration date
05/11/2017
Last updated
05/11/2017
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