Individual
AISHA D PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 W OLIVE AVE APT 2150, GLENDALE, AZ 85302-4539
(602) 397-8037
Mailing address
6201 W OLIVE AVE APT 2150, GLENDALE, AZ 85302-4539
(602) 397-8037
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D02076718
AZ
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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