NPI 1093297392

Gilberto Contreras

Practitioner Foster Care Agency Bellemont, AZ

Practice location

Address: 9146 W Slate Mountain Trail, Bellemont, AZ 86015
Phone: (928) 607-3598
Mailing address: 2323 E Greenlaw Ln STE 10b, Flagstaff, AZ 86004-1849

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 9314517 (AZ)

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X

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Registry record

NPI: 1093297392
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2018
Record last updated: 11 Mar 2020

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.