Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS ANTONIETTA ESTRADA, MC
Active Sole ProprietorMISS ANTONIETTA ESTRADA, MC is a Mental Health Clinic healthcare provider located in CASA GRANDE, Arizona. NPI 1609630284 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1609630284
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2024 (2.5353741610863 yrs)
- Last Updated
- Feb 13, 2024
- License
-
OTC6013 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1901 N TREKELL RD STE ACASA GRANDE, AZ, 851221770Browse AZ providers · Browse ZIP 85122
- Phone
- 5208361029
- Fax
- 5208366733
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.