Individual
ALICIA MARIA MENDIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15226 N 52ND ST, SCOTTSDALE, AZ 85254-2363
(602) 595-4182
Mailing address
15226 N 52ND ST, SCOTTSDALE, AZ 85254-2363
(602) 595-4182
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
8985
AZ
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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