Individual
KIRSTYNN VANDERVELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 N LAUREL AVE, PHOENIX, AZ 85007-1629
(661) 488-6195
Mailing address
1810 N LAUREL AVE, PHOENIX, AZ 85007-1629
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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