Individual
MS. MARY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 E CORONA AVE, PHOENIX, AZ 85040-2733
(602) 575-4310
(602) 243-1483
Mailing address
2721 E CORONA AVE, PHOENIX, AZ 85040-2733
(602) 575-4310
(602) 243-1483
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
6483494
AZ
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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