Individual
MS. MARGARITA COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3049 W DAHLIA DR, PHOENIX, AZ 85029-1320
(602) 866-7399
Mailing address
3049 W DAHLIA DR, PHOENIX, AZ 85029-1320
(602) 866-7399
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
8866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
892308
AHCCCS ID NUMBER
AZ
Enumeration date
11/21/2006
Last updated
07/08/2007
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