Individual
ROSA IDALIA MARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6320 N 82ND ST, SCOTTSDALE, AZ 85250-5611
(480) 484-3111
Mailing address
9453 E WOOD DR, SCOTTSDALE, AZ 85260-4365
(213) 268-1457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN145811
AZ
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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