Individual
MADISON KASHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
855 W 8TH AVE, MESA, AZ 85210-3401
(480) 472-3814
Mailing address
855 W 8TH AVE, MESA, AZ 85210-3401
(480) 472-3814
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
303052
AZ
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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