Individual provider · NPI-1
Casey Trujillo
Homemaker · Peoria, AZ
NPI number1992343628
StatusActive
Last updated in NPPESDec 12, 2019
Details
- NPI
- 1992343628
- Entity type
- Individual (NPI-1)
- Name
- Casey Trujillo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2019
- Certification date
- Dec 12, 2019
- Last updated
- Dec 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
8555 W Cherry Hills DrPeoria, AZ 85345-8172
Phone 602-293-6270
Mailing address
8555 W Cherry Hills DrPeoria, AZ 85345-8172
Phone 602-293-6270
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