Individual
CHRISDEON AYIYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1080 S BOGLE CT, CHANDLER, AZ 85286-1310
(602) 710-4171
Mailing address
13029 W AVALON DR, AVONDALE, AZ 85392-6763
(602) 710-4171
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
08/22/2024
Last updated
08/23/2024
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