Individual
JULIE KRISTIN POMEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3224 NORTH GOVERNMENT PRAIRIE ROAD, PARKS, AZ 86018-0010
(928) 635-4158
Mailing address
PO BOX 50010, PARKS, AZ 86018
(928) 635-4158
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
1566178
AZ
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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