Individual
JOHN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0502
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN147905
AZ
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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