Individual
MRS. IRENA CHATKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 S. 113TH AVE, AVONDALE, AZ 85323
(623) 236-9800
(623) 236-8614
Mailing address
2302 S. 113TH AVE, AVONDALE, AZ 85323
(623) 236-9800
(623) 236-8614
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
ALH-7169
AZ
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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