Individual
MRS. TESSIE CAPILITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-5588
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-5588
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN127087
AZ
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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