Individual
JENNA DALLA MURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 N 16TH ST, PHOENIX, AZ 85016-2901
(602) 664-7120
Mailing address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN158229
AZ
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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