Individual
SUSAN POMFRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
836 N CHERRY, B, MESA, AZ 85201-4076
(480) 600-0908
Mailing address
836 N CHERRY, B, MESA, AZ 85201-4076
(480) 600-0908
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT-01433P
AZ
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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