Individual
DENISE RENEE KESWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
7010 W LOUISE DR, GLENDALE, AZ 85310-5939
(623) 695-2601
Mailing address
7010 W LOUISE DR, GLENDALE, AZ 85310-5939
(623) 695-2601
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
8133A
AZ
Other
Enumeration date
02/06/2010
Last updated
02/06/2010
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