Individual
VIRNA M COVARRUBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
429 N SIRRINE, MESA, AZ 85201-5924
(602) 459-6646
Mailing address
429 N SIRRINE, MESA, AZ 85201-5924
(602) 459-6646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002109
PR
Other
Enumeration date
04/04/2024
Last updated
04/05/2024
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