Individual
MIA URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14602 N 19TH AVE UNIT 161, PHOENIX, AZ 85023-7112
(480) 290-4529
Mailing address
14602 N 19TH AVE UNIT 161, PHOENIX, AZ 85023-7112
(480) 290-4529
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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