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Gloria Cavazos, foster parent

Respite Care, Respite Care, Mental Illness, Child in Yuma, AZ. Individual provider (NPI-1).

NPI number1851456552
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1851456552
Entity type
Individual (NPI-1)
Name
Gloria Cavazos
Credential
foster parent
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
385HR2055X Respite Care, Respite Care, Mental Illness, Child12008–Yes

Practice location

510 E 26th Pl
Yuma, AZ 85365-2824

Phone 928-783-0399

Mailing address

510 E 26th Pl
Yuma, AZ 85365-2824

Phone 928-783-0399

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