Individual
ODILETTE TREVIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
BEAUTIFUL YOU MED SPA, 123 E BASELINE RD STE D208, TEMPE, AZ 85283
(602) 510-3948
Mailing address
7115 W DARROW ST, LAVEEN, AZ 85339-2636
(602) 510-3948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN159708
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN159708
RN
AZ
Enumeration date
06/03/2019
Last updated
08/21/2019
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