CARLSON TAMINANG

MARICOPA, AZ
NPI1578292033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy323P00000X Psychiatric Residential Treatment Facility
Enumeration Date2022-06-08
Last Update Date2022-06-08
Business Address
CARLSON TAMINANG RN
20148 N DONITHAN WAY
MARICOPA, AZ 85138-2428
Phone number: 480-516-8103
Mailing Address
CARLSON TAMINANG RN
20148 N DONITHAN WAY
MARICOPA, AZ 85138-2428
Phone number: 480-516-8103