Individual
KARINA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SWEETWATER, GLENDALE, AZ 85304-1505
(602) 347-2600
Mailing address
9646 W SELDON LN, PEORIA, AZ 85345-7753
(623) 334-0734
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563090
—
AZ
Enumeration date
05/07/2007
Last updated
07/08/2007
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