Individual
MRS. JUANITA NERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 E WILLETTA ST, PHOENIX, AZ 85006-2723
(718) 564-9863
Mailing address
775 E WILLETTA ST, PHOENIX, AZ 85006-2723
(718) 564-9863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SO23650
AZ
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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