Provider Demographics
NPI:1972251759
Name:STRICKER, JONI
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:STRICKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 E VALLEY AUTO DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4631
Mailing Address - Country:US
Mailing Address - Phone:480-259-5569
Mailing Address - Fax:
Practice Address - Street 1:4121 E VALLEY AUTO DR STE 100
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4631
Practice Address - Country:US
Practice Address - Phone:480-474-4173
Practice Address - Fax:480-422-2436
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator