Tracy Dunbar
Respite Care, Respite Care, Mental Illness, Child in Surprise, AZ. Individual provider (NPI-1).
NPI number1417281395
StatusActive
Last updated in NPPESOct 15, 2009
Details
- NPI
- 1417281395
- Entity type
- Individual (NPI-1)
- Name
- Tracy Dunbar
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2009
- Last updated
- Oct 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2055X | Respite Care, Respite Care, Mental Illness, Child | 1797878 | AZ | Yes |
Practice location
18245 West Port Royale Ln.Surprise, AZ 85388
Phone 623-565-1336
Mailing address
18245 West Port Royale Ln.Surprise, AZ 85388
Phone 623-565-1336
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