Individual
VALERIE GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5408 S 15TH ST, PHOENIX, AZ 85040
(602) 323-9928
Mailing address
5408 S 15TH ST, PHOENIX, AZ 85040
(602) 323-9928
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
9322
AZ
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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