Individual
MARINA ANTUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 E RILEY DR, AVONDALE, AZ 85323-2154
(623) 932-7300
(623) 932-0650
Mailing address
530 E RILEY DR, AVONDALE, AZ 85323-2154
(623) 932-7300
(623) 932-0650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP045315
AZ
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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