Individual
SHU ZHEN FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5419 W SANDS RD, GLENDALE, AZ 85301-1483
(623) 628-7730
Mailing address
5419 W SANDS RD, GLENDALE, AZ 85301-1483
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
183700000X
Pharmacy Technician
Primary
T064947
AZ
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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