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Individual

MRS. MAIRELIS ZALDIVAR-SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10008 W BLOCH RD, TOLLESON, AZ 85353-4446
(602) 621-2931
(623) 398-8666
Mailing address
10008 W BLOCH RD, TOLLESON, AZ 85353-4446
(602) 621-2931
(623) 398-8666

Taxonomy

Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
AL7702 H
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27-0278545
AZ
05
ALH7198
AZ
Enumeration date
10/05/2009
Last updated
10/05/2009
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