Individual
LIGIA AHUMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7111 W PIONEER ST, PHOENIX, AZ 85043-7209
(623) 396-3659
Mailing address
7111 W PIONEER ST, PHOENIX, AZ 85043-7209
(623) 396-3659
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2646346
AZ
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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