Individual
MICHELLE MASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 E. NORTHERN AVENUE, PHOENIX, AZ 85020
(602) 337-8217
Mailing address
4110 E PRICKLY PEAR TRL, PHOENIX, AZ 85050-9004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN194656
AZ
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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