Gandeza, Maryrose Trongco

Gandeza, Maryrose Trongco is an individual health care provider with primary practice located at Navajo Route 12 Window Rock Unified School District, Fort Deliance AZ 86504. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gandeza, Maryrose Trongco can be contacted via phone (920) 729-6768.

Contact Information

Primary practice address
Navajo Route 12 Window Rock Unified School District Fort Deliance AZ 86504
Phone: (920) 729-6768
Fax: (928) 729-7630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1649475211
LBN Legal business name Gandeza, Maryrose Trongco
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 26th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649475211 NPPES
Arizona Other 889454 AHCCCS

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