Individual
NAOMI KONKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
818 QUARTER HORSE RD, WILLIAMS, AZ 86046-9643
(928) 380-4360
Mailing address
818 QUARTER HORSE RD, WILLIAMS, AZ 86046-9643
(928) 380-4360
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
5945516
AZ
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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