Individual provider · NPI-1
Cesar Baang
Technician, Attendant Care Provider · Glendale, AZ
NPI number1740952530
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1740952530
- Entity type
- Individual (NPI-1)
- Name
- Cesar Baang
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2021
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
5357 W Tonopah DrGlendale, AZ 85308-9121
Phone 480-417-1122
Mailing address
5357 W Tonopah DrGlendale, AZ 85308-9121
Phone 480-417-1122
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