Individual
CHRISTIANE DAI PRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12238 N 56TH DR, GLENDALE, AZ 85304-1821
(805) 722-2627
Mailing address
12238 N 56TH DR, GLENDALE, AZ 85304-1821
(805) 722-2627
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN184355
AZ
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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