Individual
MR. IOAN RADU
Active
Individual
MR. IOAN RADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-5811
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118399
ALTECS PROVIDER ID
AZ
Enumeration date
12/04/2007
Last updated
12/04/2007
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