NPI 1053168831
Jolley D Demaih
Practice location
- Address
- 10802 N 43rd, Glendale, AZ 85304
- Phone
- (602) 314-6064
- Mailing address
- 12371 W Hazelwood St, Avondale, AZ 85392-4277
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1053168831
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 May 2024
- Record last updated
- 1 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.