DARYL JOHN KALLENBACH

LAKE HAVASU CITY, AZ
NPI1619213576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: AZ  CNA1000021924)
Enumeration Date2012-12-21
Last Update Date2012-12-21
Business Address
-- DARYL JOHN KALLENBACH cna
3465 THUNDERBIRD LN
LAKE HAVASU CITY, AZ 86406-5556
Phone number: 928-706-5851
Mailing Address
-- DARYL JOHN KALLENBACH cna
1345 BEEFEATER DR
LAKE HAVASU CITY, AZ 86404-1953
Phone number: 928-706-5851
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