Individual
YESENIA CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 E BROADWAY RD, MESA, AZ 85208-1916
(480) 807-9000
(480) 807-9234
Mailing address
2824 S VALLE VERDE, MESA, AZ 85212-1805
(623) 293-1564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014451
AZ
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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