Individual
SERGE TABARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3593 W GOLDMINE MOUNTAIN DR, SAN TAN VALLEY, AZ 85144-6592
(480) 828-0578
Mailing address
3593 W GOLDMINE MOUNTAIN DR, SAN TAN VALLEY, AZ 85144-6592
(480) 828-0578
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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