Individual
CHERYL AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 N. COUNTRY CLUB DR, MESA, AZ 85201
(480) 472-7506
(480) 472-7474
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN077240
AZ
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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