Individual
MRS. EMILIA MASSIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-5077
Mailing address
4530 E HEATHERBRAE DR, PHOENIX, AZ 85018-4326
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3222
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
916968
AHCCCS
AZ
Enumeration date
02/15/2007
Last updated
07/08/2007
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