Individual
PATRICIA Q MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 N 30TH AVE UNIT 1, PHOENIX, AZ 85009-5001
(862) 227-2630
Mailing address
123 N 30TH AVE UNIT 1, PHOENIX, AZ 85009-5001
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B14525265
DL
AZ
Enumeration date
05/28/2021
Last updated
05/28/2021
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