Individual
KRISTEN SOLLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19602 N 45TH AVE, GLENDALE, AZ 85308-7339
(623) 445-4310
Mailing address
4745 W ESCUDA DR, GLENDALE, AZ 85308-5140
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN150624
AZ
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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