Individual
ARMANDO MENDIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15226 N 52ND ST, SCOTTSDALE, AZ 85254-2363
(602) 595-4182
Mailing address
15226 N 52ND ST, SCOTTSDALE, AZ 85254-2363
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8985
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
03/23/2007
Last updated
07/08/2007
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