Individual
MRS. CHERYL TWIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2253 E JAEGER ST, MESA, AZ 85213-2934
(480) 898-8336
Mailing address
2253 E JAEGER ST, MESA, AZ 85213-2934
(480) 898-8336
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4000
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744153
AHCCCS ID NUMBER
AZ
Enumeration date
11/21/2006
Last updated
07/08/2007
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