Individual
BRENT DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1274 W LANTANA DR, CHANDLER, AZ 85248-3720
(928) 432-0662
Mailing address
700 E PAYTON ST, SAN TAN VALLEY, AZ 85140-5809
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
AZ
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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