Individual
MRS. LAUNA FAYE KOLIBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9608 E MONTEREY AVE, MESA, AZ 85209-2246
(480) 358-9336
(480) 358-9336
Mailing address
9608 E MONTEREY AVE, MESA, AZ 85209-2246
(480) 358-9336
(480) 358-9336
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4975
AZ
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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