Individual
LILIANA KETTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255-7456
(480) 513-1042
Mailing address
8311 E VIA DE VENTURA APT 1001, SCOTTSDALE, AZ 85258-6601
(570) 986-5111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
283861
AZ
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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