Individual
ERNESTA PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13614 N 89TH ST, SCOTTSDALE, AZ 85260-7653
(480) 823-8848
Mailing address
7028 S 58TH AVE, LAVEEN, AZ 85339-2265
(480) 823-8848
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH5958
AZ
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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