LIDIA PORTAN

GLENDALE, AZ
NPI1407024383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: AZ  ALH-6526)
Enumeration Date2008-02-13
Last Update Date2008-02-13
Business Address
-- LIDIA PORTAN
6559 W PINNACLE PEAK RD
GLENDALE, AZ 85310-3415
Phone number: 623-376-6134
Mailing Address
-- LIDIA PORTAN
6559 W PINNACLE PEAK RD
GLENDALE, AZ 85310-3415
Phone number: 623-376-6134
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