Individual
MARYLEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20863 E SADDLE WAY, QUEEN CREEK, AZ 85142-6506
(480) 855-7096
Mailing address
20863 E SADDLE WAY, QUEEN CREEK, AZ 85142-6506
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN155505
AZ
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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