Individual
CARRA MONTIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
961 E RANCH RD, GILBERT, AZ 85296-8373
(602) 315-2362
Mailing address
961 E RANCH RD, GILBERT, AZ 85296-8373
(602) 315-2362
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
282792
AZ
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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