Individual
JOVITA MABEL SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 N 28TH AVE, PHOENIX, AZ 85009-5043
(480) 670-7319
Mailing address
11 N 28TH AVE, PHOENIX, AZ 85009-5043
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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