Individual
MARYANN THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
I.B.C.L.C.
Contact information
Practice address
11624 N 83RD PL, SCOTTSDALE, AZ 85260-5656
(480) 831-9504
Mailing address
11624 N 83RD PL, SCOTTSDALE, AZ 85260-5656
(480) 831-9504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
05/10/2013
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