Individual
LIZZY ANIBUEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8074 N 109TH DR, PEORIA, AZ 85345-0404
(602) 697-6651
Mailing address
8074 N 109TH DR, PEORIA, AZ 85345-0404
(602) 697-6651
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
6244348
AZ
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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