JASA DEFAZIO

CHANDLER, AZ
NPI1740766567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0008X Pediatrics, Neurodevelopmental Disabilities
(Licence: AZ  OTA-046588)
Enumeration Date2018-07-15
Last Update Date2018-07-15
Business Address
JASA DEFAZIO COTA/L
2175 N ALMA SCHOOL RD STE A106
CHANDLER, AZ 85224-2882
Phone number: 480-855-0474
Mailing Address
JASA DEFAZIO COTA/L
7340 E LEGACY BLVD UNIT H4005
SCOTTSDALE, AZ 85255-6531
Phone number: 484-400-1342
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