Individual
MARCO EDGARDO ZALDIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
8915 E PAMPA AVE, MESA, AZ 85212-2834
(480) 636-9223
(480) 686-9223
Mailing address
8915 E PAMPA AVE, MESA, AZ 85212-2834
(480) 636-9223
(480) 686-9223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN122134
AZ
163WR0006X
Registered Nurse First Assistant
Primary
RN122134
AZ
Other
Enumeration date
02/11/2008
Last updated
02/18/2008
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