Individual
CARMEN LESLIE TRAILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY NP
Contact information
Practice address
1400 N GILBERT RD, STE # G-2, GILBERT, AZ 85234-2328
(602) 402-1542
(650) 412-1542
Mailing address
PO BOX 22275, PHOENIX, AZ 85028-0275
(602) 402-1542
(650) 412-1542
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN051263
AZ
Other
Enumeration date
09/20/2006
Last updated
07/02/2009
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