Individual
HANNA REVEA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1929 W FILLMORE ST BLDG C, PHOENIX, AZ 85009-3812
(602) 258-6008
(602) 258-8388
Mailing address
1929 W FILLMORE ST BLDG C, PHOENIX, AZ 85009-3812
(602) 258-6008
(602) 258-8388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TP9040
AZ
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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