Individual
LORRAINE PIMENTEL MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 W. BETHANY HOME RD, GLENDALE, AZ 85301
(623) 772-2340
Mailing address
4441 W BETHANY HOME RD, GLENDALE, AZ 85301-5427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3955321
AZ
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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