Individual
FERNITRICE DAHAN HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4204 EAST WESTCHESTER DR., CHANDLER, AZ 85249
(480) 284-8364
Mailing address
INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC, PO BOX 86537, TUCSON, AZ 85754-6537
(480) 284-8364
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1875709
AZ
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760936355
THERAPEUTIC FOSTER CARE
AZ
Enumeration date
08/11/2016
Last updated
08/28/2020
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