Individual
FATOU JAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 E BASELINE RD, TEMPE, AZ 85283-1516
(480) 489-3925
Mailing address
1851 S VOYAGER DR, GILBERT, AZ 85295-5114
(602) 616-7875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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