Individual
KEYLA A. GAMMARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4734 E RAY RD, PHOENIX, AZ 85044-6225
(480) 567-9862
Mailing address
2875 W RAY RD, SUITE 6 #148, CHANDLER, AZ 85224
(480) 567-9862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2410
AZ
152W00000X
Optometrist
9878T
TX
Other
Enumeration date
11/17/2019
Last updated
06/22/2022
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