Individual
MACHELLE GLIORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15042 W SWEETWATER AVE, SURPRISE, AZ 85379-8164
(602) 717-3272
Mailing address
13700 W GREENWAY RD, SURPRISE, AZ 85374-5291
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
#2902
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695843
—
AZ
Enumeration date
02/14/2007
Last updated
07/09/2007
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