Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | AZ |
NPI | 1093865651 |
---|---|
Provider Name | Miss Frances R Monzingo |
First Address | Joseph City, AZ 86032-0073 |
Second Address | Joseph City, AZ 86032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |