Individual
JAMAE' KMAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
17300 N 88TH AVE, PEORIA, AZ 85382-3501
(602) 290-4880
Mailing address
140 E CORAL GABLES DR, PHOENIX, AZ 85022-3690
(602) 290-4880
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
5945
AZ
Other
Enumeration date
09/21/2014
Last updated
04/24/2024
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