Individual
MRS. MARY THERESA DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP.N
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-7223
Mailing address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-7223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP046114
AZ
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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