Individual
ANGEL YGUADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 E 9TH DR, MESA, AZ 85210-3719
(480) 457-9808
Mailing address
231 E 9TH DR, MESA, AZ 85210-3719
(480) 457-9808
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049939
AZ
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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