Individual
MELINDA LEE PIWINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2021 W ALICE AVE, PHOENIX, AZ 85021-4211
(602) 347-3010
(602) 347-3020
Mailing address
6515 W. MISTY WILLOW LANE, GLENDALE, AZ 85310
(623) 572-9005
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
LP038893
AZ
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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