Individual
AMANDA MARIE HAGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-4000
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044771
AZ
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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