Individual
CAROLE MARIE MONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11441 N 55TH AVE, GLENDALE, AZ 85304-3402
(623) 412-4600
Mailing address
11441 N 55TH AVE, GLENDALE, AZ 85304-3402
(623) 412-4603
(623) 412-4609
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
230680
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230680
—
AZ
Enumeration date
08/29/2019
Last updated
08/29/2019
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