Individual
MRS. CELESTE MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8848 W GRISWOLD RD, PEORIA, AZ 85345-7819
(623) 877-7821
Mailing address
8848 W GRISWOLD RD, PEORIA, AZ 85345-7819
(623) 877-7821
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
5846
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813841
AHCCCS ID NUMBER
AZ
Enumeration date
11/27/2006
Last updated
07/08/2007
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