Individual
KLARINDA MAE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6308 W CAMPBELL AVE, PHOENIX, AZ 85033-2731
(623) 619-4915
Mailing address
6308 W CAMPBELL AVE, PHOENIX, AZ 85033-2731
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP006073
AZ
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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