Individual
MRS. SOFIA T MENCHACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 S CAMPBELL DR, CASA GRANDE, AZ 85222-5004
(520) 836-0679
Mailing address
1016 S CAMPBELL DR, CASA GRANDE, AZ 85222-5004
(520) 836-0679
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
3763
AZ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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