Individual
RETZAR BAANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5357 W TONOPAH DR, GLENDALE, AZ 85308-9121
(560) 673-7557
Mailing address
5357 W TONOPAH DR, GLENDALE, AZ 85308-9121
(560) 673-7557
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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