Individual
JUDE BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40879 N COYOTE RD, SAN TAN VALLEY, AZ 85140-9843
(480) 286-7703
Mailing address
40879 N COYOTE RD, SAN TAN VALLEY, AZ 85140-9843
(480) 286-7703
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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