Individual
ANNA CIMENTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3422 E MCKINLEY ST, PHOENIX, AZ 85008-6236
(602) 350-1433
Mailing address
3422 E MCKINLEY ST, PHOENIX, AZ 85008-6236
(602) 350-1433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22243
AZ
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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