Individual
MRS. ELANA LEAH MASTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 W GROVERS AVE, PHOENIX, AZ 85023-6515
(602) 326-1180
Mailing address
302 W MURIEL DR, PHOENIX, AZ 85023-6524
(602) 326-1180
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/18/2025
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