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KELLIE L CARDOZA BHT

>> Day Training/Habilitation Specialist >> Nursing Service Related Providers

Registrant NPI Number: 1669072161

Individual Registrant:
 KELLIE L CARDOZA BHT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6148 W FRIER DR  GLENDALE, AZ 85301-1223 US
Tel: 315-955-0170  Fax: --

Contact information for business:
6148 W FRIER DR  GLENDALE, AZ 85301-1223 US
Tel: 315-955-0170  Fax: --

Registration Information:
NPI: 1669072161
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
7777777AZ05




HEALTH CARE JOBS AZ - Page 1



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