Individual
PAYTON CALISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21646 W HILTON AVE, BUCKEYE, AZ 85326-6555
(619) 573-8999
Mailing address
21646 W HILTON AVE, BUCKEYE, AZ 85326-6555
(619) 573-8999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
224389
AZ
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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