Individual
LYDIANE PAMBOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2048 S MCCONNELL DR, TUCSON, AZ 85710-8088
(520) 257-9744
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(602) 708-0240
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
ADBH20008
AZ
385H00000X
Respite Care
ADBH20008
AZ
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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