Individual
KATHERINE NICOLE HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 W ILLINI RD, TOLLESON, AZ 85353-4600
(623) 478-5005
Mailing address
4520 E BASELINE RD APT 2025, PHOENIX, AZ 85042-7432
(314) 952-8699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TSLP12551
AZ
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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