Individual
MRS. MARIA ZAMBRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5603 W SHANGRI LA RD, GLENDALE, AZ 85304-3851
(623) 979-1150
Mailing address
5603 W SHANGRI LA RD, GLENDALE, AZ 85304-3851
(623) 979-1150
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
11355
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116658
ACCCHS ID. NUMBER
AZ
Enumeration date
12/05/2006
Last updated
07/08/2007
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