Individual
ISABEL JAUREQUI MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 W BROADWAY RD STE 122, TEMPE, AZ 85282-1118
(602) 675-6185
Mailing address
1414 W BROADWAY RD STE 122, TEMPE, AZ 85282-1118
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC23635
AZ
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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