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Tammy Mirkazemi
Nursing Home Administrator in Avondale, Arizona
NPI 1003359696

Tammy Mirkazemi is a Nursing Home Administrator based in Avondale, AZ. Tammy Mirkazemi practices in Avondale, AZ. The NPI Number for Tammy Mirkazemi is 1003359696 and holds a License No. BH4966 (Arizona).

The current practice location address for Tammy Mirkazemi is 13039 W Cheery Lynn Rd, Avondale, AZ and can be reached out via phone at 623-326-7137.

Location: 13039 W Cheery Lynn Rd, Avondale, AZ, 85392-6775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003359696
Provider Name
Tammy Mirkazemi
Credential
Provider Entity Type
Individual
Gender
Female
Address
13039 W Cheery Lynn Rd, Avondale, AZ, 85392-6775
Phone Number
623-326-7137
Fax Number
Provider Enumeration Date
11/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13039 W Cheery Lynn Rd
City
Avondale
State
Arizona
Zip
85392-6775
Phone Number
623-326-7137
Fax Number
person
Provider Business Mailing Address Details
Address
13039 W Cheery Lynn Rd
City
Avondale
State
Arizona
Zip
85392-6775
Phone Number
623-326-7137
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
BH4966 (Arizona)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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