Individual
JANINE DEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3217 S 99TH DR, TOLLESON, AZ 85353-8427
(623) 478-5489
Mailing address
3217 S 99TH DR, TOLLESON, AZ 85353-8427
(623) 478-5489
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
12410
AZ
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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