Individual
MRS. COCA AIDA HADJIPENTCHEV
Active
Individual
MRS. COCA AIDA HADJIPENTCHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALH-5691
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082984
AHCCCS PROVIDER ID
AZ
Enumeration date
04/04/2008
Last updated
04/04/2008
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