Gregory Tarazon
Gregory Tarazon is a Child Mental Illness Respite Care in Queen Creek, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address may be wrong
2019 W Vineyard Plains DrQueen Creek, AZ 85242-6378
Phone: (480) 655-5286
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X · Licence 10045 (AZ) |
|---|
Record details
| NPI number | 1639243512 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2019 W Vineyard Plains Dr, Queen Creek, AZ 85242-6378 |
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