Individual
BETTY ANN PESCHKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 CAMINO OSITO, RIO RICO, AZ 85648-3709
(480) 580-4314
Mailing address
433 CAMINO OSITO, RIO RICO, AZ 85648-3709
(480) 580-4314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/11/2019
Last updated
04/19/2021
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