Individual
KORRINA NICOLE ONSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4170 N 108TH AVE, PHOENIX, AZ 85037-5469
(206) 369-8819
Mailing address
15274 W MADISON ST, GOODYEAR, AZ 85338-3391
(623) 414-2253
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-171056
AZ
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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