NPI 1558763532
Jamae' Kmak, MSOTRL
Practice location
- Address
- 17300 N 88th Ave, Peoria, AZ 85382-3501
- Phone
- (602) 290-4880
- Mailing address
- 140 E Coral Gables Dr, Phoenix, AZ 85022-3690
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1558763532
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Sep 2014
- Record last updated
- 24 Apr 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.