Individual
KARINE TAKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 S ELISEO FELIX JR WAY, AVONDALE, AZ 85323-1726
(520) 217-0713
Mailing address
272 S ELISEO FELIX JR WAY, AVONDALE, AZ 85323-1726
(520) 217-0713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BH9499
AZ
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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