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Individual

ZAYRO DAFNE JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MC

Contact information

Practice address
6125 E INDIAN SCHOOL RD STE 1005, SCOTTSDALE, AZ 85251-5469
(480) 801-6807
Mailing address
6125 E INDIAN SCHOOL RD STE 1005, SCOTTSDALE, AZ 85251-5469
(623) 404-1821

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-19361

Other

Enumeration date
03/22/2022
Last updated
03/22/2022
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