Individual
LISA JANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 E SOUTHERN AVE, MESA, AZ 85204-5220
(480) 472-5917
(480) 472-5992
Mailing address
1630 E SOUTHERN AVE, MESA, AZ 85204-5220
(480) 472-5917
(480) 472-5992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200075
AZ
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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