Individual
TENNEH FATMATA WARITAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13067 N CAVE CREEK RD, PHOENIX, AZ 85022
(480) 717-7086
Mailing address
13067 N CAVE CREEK RD, PHOENIX, AZ 85022
(480) 717-7086
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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