Provider Information for 1891287298
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ARMANDO C GRIJALVA LPC
Sex: Male
NPI: 1891287298
Last Updated: 2024-04-17
Certification Date: 2024-04-17
Certification Date: 2024-04-17
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891287298 | ||||||||||||
| Enumeration Date | 2018-05-31 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 7500 N DREAMY DRAW DR STE 145 PHOENIX, AZ 85020-4668 United States Phone: 480-882-4545 | Fax:480-882-5814 | ||||||||||||
| Primary Practice Address | 10653 N SCOTTSDALE RD SCOTTSDALE, AZ 85254-5263 United States Phone: 480-998-3500 | Fax: | ||||||||||||
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