Individual
MA. CARMONA VILLAMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15835 N 6TH PL, PHOENIX, AZ 85022-3060
(623) 889-4029
Mailing address
11225 N DYSART RD, EL MIRAGE, AZ 85335-4100
(623) 889-4029
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10644H
AZ
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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