Individual
SUSANNE MARIE PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
550 N HORNE ST, GILBERT, AZ 85233-4100
(480) 892-7810
(480) 892-8842
Mailing address
550 N HORNE ST, GILBERT, AZ 85233-4100
(480) 892-7810
(480) 892-8842
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN133014
AZ
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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