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Individual

NYI NYI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8809 S POINTE PKWY E APT 2152, PHOENIX, AZ 85044-7765
(213) 447-1759
Mailing address
8809 S POINTE PKWY E APT 2152, PHOENIX, AZ 85044-7765
(213) 447-1759

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
01/27/2026
Last updated
01/29/2026
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