Individual
MINDEE RENE MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1235 E HARMONT DR, PHOENIX, AZ 85020-3864
(602) 331-1470
Mailing address
1235 E HARMONT DR, PHOENIX, AZ 85020-3864
(602) 331-1470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN158471
AZ
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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