Individual
MISS ANTONIETTA ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
1901 N TREKELL RD STE A, CASA GRANDE, AZ 85122-1770
(520) 836-1029
(520) 836-6733
Mailing address
1901 N TREKELL RD STE A, CASA GRANDE, AZ 85122-1770
(520) 836-1029
(520) 836-6733
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6013
AZ
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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