KIM HARRIS BAERVELDT

PHOENIX, AZ
NPI1932483807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: AZ  4879)
Enumeration Date2011-10-10
Last Update Date2011-10-10
Business Address
KIM HARRIS BAERVELDT MS OTR/L
15002 N 32ND ST
PHOENIX, AZ 85032-4441
Phone number: 602-449-2051
Mailing Address
KIM HARRIS BAERVELDT MS OTR/L
15002 N 32ND ST
PHOENIX, AZ 85032-4441
Phone number: 602-449-2051