Individual
LEGALO S FAAIFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26029 W CROWN KING RD, BUCKEYE, AZ 85326-1615
(907) 891-6079
Mailing address
26029 W CROWN KING RD, BUCKEYE, AZ 85326-1615
(907) 891-6079
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
AZ
172A00000X
Driver
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
376G00000X
Nursing Home Administrator
—
AZ
376J00000X
Homemaker
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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