Individual
JOHANA HAYDEE TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINICIAN ASSOCIATE
Contact information
Practice address
619 W SOUTHERN AVE, MESA, AZ 85210-5004
(602) 808-2828
(480) 649-5214
Mailing address
202 E EARLL DR, SUITE 200, PHOENIX, AZ 85012-2647
(602) 599-5404
(602) 599-5704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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