Individual
MRS. LISA PATSY GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 N VELERO CT, CHANDLER, AZ 85225-5706
(480) 917-0829
Mailing address
21 N VELERO CT, CHANDLER, AZ 85225-5706
(480) 917-0829
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
9549
AZ
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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