Individual
SARA ZERMENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
8114505
AZ
385HR2055X
Child Mental Illness Respite Care
8114505
AZ
Other
Enumeration date
09/04/2019
Last updated
11/26/2019
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