Individual
JOSE MARIO NIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17927 W MAUI LN, SURPRISE, AZ 85388-7550
(623) 374-4060
Mailing address
17927 W MAUI LN, SURPRISE, AZ 85388-7550
(623) 374-4060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6288
AZ
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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