Individual
LUZ ANABELLE FRAUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4545 E. SOUTHERN AVE, SUITE 103, MESA, AZ 85206-2677
(480) 981-6100
(480) 981-5501
Mailing address
4545 E. SOUTHERN AVE, SUITE 103, MESA, AZ 85206-2677
(480) 981-6100
(480) 981-5501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
51848
CA
363A00000X
Physician Assistant
Primary
9039
AZ
Other
Enumeration date
11/12/2014
Last updated
03/20/2024
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