Individual
FATMATA DARAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10432 W GRANADA RD, AVONDALE, AZ 85392-4743
(623) 414-9716
Mailing address
10432 W GRANADA RD, AVONDALE, AZ 85392-4743
(623) 414-9716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH6693
AZ
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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