Individual
MR. EDDIE BELLEZA TABARANGAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
4280 E SIERRA MADRE AVE, GILBERT, AZ 85296-1589
(480) 246-9242
Mailing address
4280 E SIERRA MADRE AVE, GILBERT, AZ 85296-1589
(480) 246-9242
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP7465
AZ
Other
Enumeration date
11/17/2014
Last updated
10/27/2016
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