Individual
MARY SANDRA WHITLATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4939 W RAY RD STE 4-312, CHANDLER, AZ 85226-2065
(602) 509-5548
Mailing address
4939 W RAY RD STE 4-312, CHANDLER, AZ 85226-2065
(602) 509-5548
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN046779
AZ
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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