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Stephanie Mooningham
NPI 1528388170 · on the registry since 2010
Practice
- Address
- 7865 W Boca Raton Rd
Peoria, AZ 85381 - Phone
- (623) 979-4406
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona