Individual
GLORIA SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28821 E. ANNIE LANE, MARANA, AZ 85741
(520) 682-9496
Mailing address
28821 E. ANNIE LANE, MARANA, AZ 85741
(520) 682-9496
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-2799
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135546
—
AZ
Enumeration date
11/28/2006
Last updated
07/09/2007
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