Individual
CIELO MOHAPATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 N DOBSON RD STE A18, CHANDLER, AZ 85224-4237
(602) 526-1842
Mailing address
595 N DOBSON RD STE A18, CHANDLER, AZ 85224-4237
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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