Individual
CAROLYN NELL ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MT-BC, NMT FELLO
Contact information
Practice address
917 E STATE AVE, PHOENIX, AZ 85020-5049
(602) 402-9763
Mailing address
917 E STATE AVE, PHOENIX, AZ 85020-5049
(602) 402-9763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02750
AZ
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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