Individual
LORI ZINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13126 TRINITY RANCH ROAD, PARKS, AZ 86018-0335
(928) 221-7830
Mailing address
PO BOX 50335, PARKS, AZ 86018-0335
(928) 221-7830
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1420774
AZ
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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