Individual
HEATHER QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4530 W CAMPBELL AVE, PHOENIX, AZ 85031-1400
(623) 463-7666
Mailing address
4530 W CAMPBELL AVE, PHOENIX, AZ 85031-1400
(623) 463-7666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP054276
AZ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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