Individual
JESSICA CORTINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13120 N 173RD LN, SURPRISE, AZ 85388-7960
(623) 249-1689
Mailing address
13120 N 173RD LN, SURPRISE, AZ 85388-7960
(623) 249-1689
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
05/10/2024
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