Individual
CHERYL LYNN MINEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21505 N 78TH AVE, PEORIA, AZ 85382-3356
(480) 369-4550
Mailing address
21505 N 78TH AVE, PEORIA, AZ 85382-3356
(480) 369-4550
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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