Individual
ZENA ANNE KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13522 MAIN STREET, MAYER, AZ 86333
(928) 632-7269
Mailing address
13522 MAIN STREET, MAYER, AZ 86333
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
039620
AZ
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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