Individual
CHAILLE YVETTE SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41874 W ANNE LN, MARICOPA, AZ 85138-8632
(702) 328-0203
Mailing address
41874 W ANNE LN, MARICOPA, AZ 85138
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8382495
—
AZ
Enumeration date
07/31/2017
Last updated
07/31/2017
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