Menjivar, Daisy

Menjivar, Daisy is an sole proprietor health care provider with primary practice located at 19918 N 65Th Ave , Glendale AZ 85308-7088. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Menjivar, Daisy can be contacted via phone (480) 806-9877.

Contact Information

Primary practice address
19918 N 65Th Ave Glendale AZ 85308-7088
Phone: (480) 806-9877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X AL10812H Arizona

Profile Details

NPI number 1962143669
LBN Legal business name Menjivar, Daisy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2022
Last updated Apr 5th, 2022 - about 3 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 1962143669 NPPES
Arizona MEDICAID 881159309

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