Individual
MR. RAYMOND LEGENZOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
4747 N 7TH ST, PHOENIX, AZ 85014-3653
(602) 279-7655
Mailing address
2529 E VISTA BONITA DR, PHOENIX, AZ 85024-7560
(480) 342-8539
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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