Individual
MANUELA VITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-NP
Contact information
Practice address
6859 E. REMBRANDT AVE, SUITE 117, MESA, AZ 85212-3630
(480) 632-1577
(480) 632-1574
Mailing address
6859 E. REMBRANDT AVE, SUITE 117, MESA, AZ 85212-3630
(480) 632-1577
(480) 632-1574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3706
AZ
Other
Enumeration date
09/03/2010
Last updated
08/17/2012
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