Individual
MA ROWENA RESULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13828 W WADDELL RD, SURPRISE, AZ 85379-3802
(623) 476-1811
Mailing address
13828 W WADDELL RD, SURPRISE, AZ 85379-3802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014166
AZ
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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