Individual
PAULA KAY DE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1935 W HAYWARD AVE, PHOENIX, AZ 85021-6921
(602) 336-6816
(602) 336-6964
Mailing address
1935 W HAYWARD AVE, PHOENIX, AZ 85021-6921
(602) 336-6816
(602) 336-6964
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP010918
AZ
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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