Individual
ERIKA PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11705 W MAUI LN, EL MIRAGE, AZ 85335-6974
(602) 281-5974
Mailing address
3170 STILLWATER DR, PRESCOTT, AZ 86305-7151
(928) 777-3280
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
9218220
AZ
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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