Individual
MARCELINE E NDUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 N ARIZONA AVE, CHANDLER, AZ 85225-6600
(480) 618-0027
(520) 300-8059
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(312) 733-9730
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
224902
AZ
Other
Enumeration date
05/03/2019
Last updated
11/16/2022
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