Individual
CINDY JOSEPHINE MIDDLEMISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2563 S REVOLTA, MESA, AZ 85209-6652
(480) 539-5679
Mailing address
2563 S REVOLTA, MESA, AZ 85209-6652
(480) 539-5679
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
12036
AZ
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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