Individual
SIERRA SUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 E MCDOWELL RD, PHOENIX, AZ 85006-3034
(602) 316-0659
Mailing address
2226 N RICHLAND ST, PHOENIX, AZ 85006-1617
(602) 317-9080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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