Individual
LORENA BOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 W SPUR DR, PHOENIX, AZ 85085-1721
(503) 964-8556
Mailing address
1929 W SPUR DR, PHOENIX, AZ 85085-1721
(503) 964-8556
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12049H
AZ
Other
Enumeration date
07/31/2024
Last updated
08/02/2024
About Stedi
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