Individual
MELISSA SUSAN COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20845 N 8TH AVE, PHOENIX, AZ 85027-3666
(602) 618-2895
Mailing address
18402 N. 19TH AVENUE PMB, 208, PHOENIX, AZ 85023
(602) 618-2895
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1904764
AZ
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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