Individual
CALLIE JO MERSBERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 N 20TH ST, PHOENIX, AZ 85006-1339
(320) 905-2788
Mailing address
2632 N 20TH ST, PHOENIX, AZ 85006-1339
(320) 905-2788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234518
AZ
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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