Individual
JULIANNA MEDINA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2100
(602) 257-3755
Mailing address
8301 N 103RD AVE LOT 147, PEORIA, AZ 85345-7462
(480) 749-3836
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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