Individual
FATIMA YARELY MANJARREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366
(602) 995-0867
Mailing address
4126 N 85TH AVE, PHOENIX, AZ 85037-2108
(602) 995-7366
(602) 995-0867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP052126
AZ
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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