Individual
GABRIELLA LATTANZI GANNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1848 E THOMAS RD STE 100, PHOENIX, AZ 85016-8103
(602) 456-2342
Mailing address
18 BILTMORE EST, PHOENIX, AZ 85016-2822
(847) 502-3561
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8953
AZ
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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