JAMAE' KMAK

PEORIA, AZ
NPI1558763532
Former NameJAMAE' VAN EEUWEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: AZ  5945)
Enumeration Date2014-09-21
Last Update Date2024-04-24
Business Address
JAMAE' KMAK MS OTR/L
17300 N 88TH AVE
PEORIA, AZ 85382-3501
Phone number: 602-290-4880
Mailing Address
JAMAE' KMAK MS OTR/L
140 E CORAL GABLES DR
PHOENIX, AZ 85022-3690
Phone number: 602-290-4880