Individual
MALAIYA ILENE ERASO LIWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 E WARNER RD STE 115, GILBERT, AZ 85296-3133
(480) 590-3915
Mailing address
6640 E MCDOWELL RD APT 3006, SCOTTSDALE, AZ 85257-3153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-23091
AZ
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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