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Individual

D'VONNE MARIE ISHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
10207 W COUNTRY PLACE BLVD, TOLLESON, AZ 85353-8450
(602) 478-6126
(623) 478-6120
Mailing address
10207 W COUNTRY PLACE BLVD, TOLLESON, AZ 85353-8450
(602) 478-6126
(623) 478-6120

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN165464
AZ

Other

Enumeration date
11/03/2010
Last updated
11/03/2010
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