DIANE PARK MD LLC

MESA, AZ
NPI1972847903
Entity TypeOrganization
Authorized ContactDIANE PARK
Owner
480-204-2477
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  32107)
Enumeration Date2012-11-15
Last Update Date2012-11-15
Business Address
DIANE PARK MD LLC
1845 S DOBSON RD SUITE 109
MESA, AZ 85202-5661
Phone number: 480-204-2477
Mailing Address
DIANE PARK MD LLC
1845 S DOBSON RD SUITE 109
MESA, AZ 85202-5661
Phone number: 480-204-2477
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