WINNIFRED ELLEN MENDIVIL

SCOTTSDALE, AZ
NPI1326391061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-10913)
Enumeration Date2012-10-18
Last Update Date2012-10-18
Business Address
Mrs. WINNIFRED ELLEN MENDIVIL M.E.d., L.I.S.A.C.
10005 E. OSBORN ROAD
SCOTTSDALE, AZ 85256-4019
Phone number: 480-362-5615
Mailing Address
Mrs. WINNIFRED ELLEN MENDIVIL M.E.d., L.I.S.A.C.
10129 W ILLINI ST
TOLLESON, AZ 85353-4110
Phone number: 623-594-8522