Individual
MS. MARGARET ELIZABETH DISTASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1867 E AUBURN DRIVE, TEMPE, AZ 85283-2222
(480) 839-6497
(480) 839-6518
Mailing address
1867 E AUBURN DRIVE, TEMPE, AZ 85283-2222
(480) 839-6497
(480) 839-6518
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
8442
AZ
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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