Individual
MISS JONICA FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1965 S ATHENS AVE, YUMA, AZ 85364-5015
(928) 329-0293
Mailing address
1965 S ATHENS AVE, YUMA, AZ 85364-5015
(928) 329-0293
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
294969
AZ
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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