Organization
MIRAME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LIZARDO GUZMAN FNP-BC (FAMILY NURSE PRACTITIONER/OWNER)
(480) 980-3298
Entity
Organization
Contact information
Practice address
5654 W BELL RD, GLENDALE, AZ 85308-3882
(480) 980-3298
(480) 546-3821
Mailing address
15095 W SELLS DR, GOODYEAR, AZ 85395-7701
(469) 500-2458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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