Individual
CYNTHIA KATHY CHAVEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4327 W ACOMA DR, GLENDALE, AZ 85306-4503
(623) 337-2988
Mailing address
4327 W ACOMA DR, GLENDALE, AZ 85306-4503
(623) 337-2988
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7402661
AZ
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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