Individual
CHRISMENE LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14020 N BLACK CANYON HWY, PHOENIX, AZ 85053-5800
(347) 278-0678
Mailing address
14020 N BLACK CANYON HWY, PHOENIX, AZ 85053-5800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1351
PR
363AM0700X
Medical Physician Assistant
9872
AZ
Other
Enumeration date
02/15/2024
Last updated
02/24/2024
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