NPI 1073788279

Javier Parra

Practitioner Assisted Living Facility Phoenix, AZ

Practice location

Address: 3202 W Folgers Rd, Phoenix, AZ 85027-7004
Phone: (623) 492-0790
Mailing address: 8311 S 141st Ave, Goodyear, AZ 85338-9250

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence PENDING (AZ)

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Registry record

NPI: 1073788279
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.