Individual
MS. BONNIE DELOE REITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 E UNIVERSITY DR, #1009, MESA, AZ 85205-6925
(602) 909-8375
Mailing address
3716 E UNIVERSITY DR, #1009, MESA, AZ 85205-6925
(602) 909-8375
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
8092
AZ
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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