Individual
CHRISTINA HIRMIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10089 N 85TH DR, PEORIA, AZ 85345-3153
(623) 703-1802
(602) 455-2624
Mailing address
10089 N 85TH DR, PEORIA, AZ 85345-3153
(623) 703-1802
(602) 455-2624
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
7649367
AZ
385HR2055X
Child Mental Illness Respite Care
7649367
AZ
Other
Enumeration date
01/12/2017
Last updated
03/10/2020
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