Individual
MRS. ANN E GANDOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1020 S EXTENSION RD, MESA, AZ 85210-1096
(480) 472-1205
(480) 472-1290
Mailing address
1020 S EXTENSION RD, MESA, AZ 85210-3420
(480) 472-1205
(480) 472-1290
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
SN0017
AZ
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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