Individual
ELISE D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11430 N 37TH AVE, PHOENIX, AZ 85029-3110
(623) 326-5557
Mailing address
11430 N 37TH AVE, PHOENIX, AZ 85029-3110
(623) 326-5557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN183017
AZ
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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