Individual
CLAIRE LUKETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 E MCLELLAN RD, MESA, AZ 85201-2339
(480) 472-5100
(480) 472-5166
Mailing address
125 E MCLELLAN RD, MESA, AZ 85201-2339
(480) 472-5100
(480) 472-5166
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN076147
AZ
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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