Individual
MRS. CHERYL DIANE BOBRIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19012 N 25TH PL, PHOENIX, AZ 85050-2573
(602) 569-5117
Mailing address
19012 N 25TH PL, PHOENIX, AZ 85050-2573
(602) 569-5117
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
240829
AZ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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