TIJUANA HARSHAW


Address: 43680 W Cowpath Rd, Maricopa, AZ 85138-5658
Phone: 4807027566

TIJUANA HARSHAW (NPI# 1174132278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174132278
Entity Type Individual
Full Name TIJUANA HARSHAW
Practice Address 43680 W Cowpath Rd
Maricopa
AZ 85138-5658
Practice Telephone 4807027566
Mailing Telephone 4807027566
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171WH0202X Contractor
Specialization: Home Modifications
Other Service Providers

Office Location

Street Address 43680 W COWPATH RD
City MARICOPA
State AZ
Zip Code 85138-5658

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1033752761 Lizabeth Joy Stephens Registered Nurse 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 2019-10-25
1922657964 Cathy Jo Rogers Registered Nurse 18600 North Porter Road, Maricopa, AZ 85138 2019-09-11
1902463565 Four Directions LLC Respite Care 37724 W Amalfi Ave, Maricopa, AZ 85138 2019-05-20
1972087013 Kristina Donnay Family Medicine 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 2018-09-24
1861909657 Four Directions LLC Respite Care 43989 W Wade Drive, Maricopa, AZ 85138 2018-01-03
1063939411 Christina Kern Specialist/Technologist 42623 W. Colby Dr., Maricopa, AZ 85138 2017-08-26
1205357191 Konadu Family Community Based Residential Treatment Facility, Mental Illness 40030 W Coltin Way, Maricopa, AZ 85138 2017-06-29
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Taxonomy Information

Taxonomy Code 171WH0202X
Grouping Other Service Providers
Classification Contractor
Specialization Home Modifications

Taxonomy Definition

Definition to come...

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1508083296 Sos Exterminating Inc Contractor 8680 Highway 69, Prescott Valley, AZ 86314 2007-04-20
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Competitor

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City MARICOPA
Zip Code 85138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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