Mayta, Racha

Mayta, Racha is an sole proprietor health care provider with primary practice located at 11225 N 28Th Dr , Phoenix AZ 85029-5606. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Mayta, Racha can be contacted via phone (623) 418-1234.

Contact Information

Primary practice address
11225 N 28Th Dr Phoenix AZ 85029-5606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Arizona

Profile Details

NPI number 1942882642
LBN Legal business name Mayta, Racha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2021
Last updated May 5th, 2023 - about last year

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 1942882642 NPPES
Arizona Other 088914 ACCESS PROVIDER

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