Individual
MARIA GRACIELA CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 S LOBACK LN, GILBERT, AZ 85297-7913
(480) 980-4181
Mailing address
3421 S LOBACK LN, GILBERT, AZ 85297-7913
(480) 980-4181
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
246607
AZ
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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