Fon Embola

NPI #1366102352 in Chandler, Arizona

Provider Information

NPI Number
1366102352
Entity Type
Individual
Name
Fon Embola
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 18, 2021
Last Updated
Dec 18, 2021

Practice Location

Address
2841 E TYSON ST
State
Arizona
ZIP Code
85225-4244
Phone
(602) 769-4053

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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