Individual
JACKELINE FERNANDA MENDEZ SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-2384
(520) 231-7380
Mailing address
5251 W ALTADENA AVE, GLENDALE, AZ 85304-3404
(623) 418-4081
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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