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Bol Pan

NPI 1336929488 · on the registry since 2023 · sole proprietor

Practice

Address
9250 N 75th Ave Lot 48
Peoria, AZ 85345
Phone
(602) 481-0911
Organisation at this address
Pinky Home Care Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona