Individual
GILBERTO CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9146 W SLATE MOUNTAIN TRAIL, BELLEMONT, AZ 86015
(928) 607-3598
Mailing address
2323 E GREENLAW LN STE 10B, FLAGSTAFF, AZ 86004-1849
(928) 226-1097
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
9314517
AZ
385HR2055X
Child Mental Illness Respite Care
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Other
Enumeration date
09/04/2018
Last updated
03/11/2020
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