Individual
MR. RANCE R AMEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3200 S GILBERT RD, CHANDLER, AZ 85286-5107
(480) 471-6404
Mailing address
4471 S NEWPORT ST, CHANDLER, AZ 85249-5468
(480) 821-7216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3690
AZ
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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