Individual
ELISABETH ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 N 63RD AVE, GLENDALE, AZ 85302-1114
(623) 412-4778
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN161079
AZ
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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