Individual
AVEA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3627 W FILLMORE ST, PHOENIX, AZ 85009-4160
(480) 293-4258
Mailing address
3627 W FILLMORE ST, PHOENIX, AZ 85009-4160
(480) 293-4258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH9850
AZ
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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