Individual
SARA BAHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 E MAIN ST, MESA, AZ 85203-8947
(480) 223-0290
Mailing address
7913 S 24TH WAY, PHOENIX, AZ 85042-7162
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
277943
AZ
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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