Individual
SUSAN A GALICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20420 N 15TH AVE, PHOENIX, AZ 85027
(623) 445-4952
(623) 445-5079
Mailing address
20420 N 15TH AVE, PHOENIX, AZ 85027
(623) 445-4952
(623) 445-5079
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN160162
AZ
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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