Individual
ALICIA MOANA TAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006
(602) 521-5969
(602) 521-5904
Mailing address
101 N 7TH ST UNIT 209, PHOENIX, AZ 85034-1055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70680
AZ
208600000X
Surgery Physician
R77024
AZ
Other
Enumeration date
05/13/2018
Last updated
03/13/2025
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