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Individual

MRS. LUNA VIVA ANANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1642 S PRIEST DR STE 101, TEMPE, AZ 85281-6204
(480) 929-5100
(480) 731-1066
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-7925

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31841
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260516
AZ
Enumeration date
06/20/2007
Last updated
05/11/2021
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