Individual
PAMELAIA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 E WILDFLOWER LN, CASA GRANDE, AZ 85222-6386
(520) 836-7702
Mailing address
1737 E WILDFLOWER LN, CASA GRANDE, AZ 85222-6386
(520) 836-7702
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1343626
AZ
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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