Individual
JWAN TOUFIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 W PEORIA AVE STE C111, PHOENIX, AZ 85029-4715
(602) 283-7100
Mailing address
2320 W PEORIA AVE STE C111, PHOENIX, AZ 85029-4715
(602) 283-7100
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
2639777
AZ
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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