Individual
MICHELLE VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 E GALVESTON ST, CHANDLER, AZ 85225-4255
(480) 635-6325
Mailing address
550 N 3RD STREET, HEALTH NORTH BUILDING, 3RD FLOOR, PHOENIX, AZ 85004-4255
(480) 635-6325
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
01/07/2025
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