Individual
IRENY SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13610 N SCOTTSDALE RD, SUITE #22, SCOTTSDALE, AZ 85254-4037
(480) 588-6163
Mailing address
13610 N SCOTTSDALE RD, SUITE #22, SCOTTSDALE, AZ 85254-4037
(480) 588-6163
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
#MT-14287
AZ
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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