Individual
LIN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6149 E ANAHEIM ST, MESA, AZ 85205-8309
(602) 525-9249
Mailing address
6149 E ANAHEIM ST, MESA, AZ 85205-8309
(602) 525-9249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP035779
AZ
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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