Individual
SUE ELLEN MUNOZ VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20565 N 19TH AVE, PHOENIX, AZ 85027-3563
(602) 899-4404
Mailing address
PO BOX 41638, PHOENIX, AZ 85080-1638
(602) 899-4404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN180480
AZ
Other
Enumeration date
07/15/2019
Last updated
02/26/2020
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