Individual
ANNA MARIA MEDINA-SKOUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4565 N DOBSON RD, SCOTTSDALE, AZ 85256-3104
(480) 516-9539
Mailing address
4565 N DOBSON RD, SCOTTSDALE, AZ 85256-3104
(480) 516-9539
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
031381
AZ
164W00000X
Licensed Practical Nurse
201030068LPN
OR
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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