Individual
DEBRA ANN REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 E VAUGHN AVE, GILBERT, AZ 85234-5938
(480) 926-1507
Mailing address
826 E VAUGHN AVE, GILBERT, AZ 85234-5938
(480) 926-1507
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
10811
AZ
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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