Individual
MRS. MICHELLE HIDROGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4539 N 22ND ST # 8065, PHOENIX, AZ 85016-4639
(480) 434-0007
Mailing address
4539 N 22ND ST # 8065, PHOENIX, AZ 85016-4639
(480) 434-0007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/21/2025
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