Individual
JHAMIEL MELCHIZEDEK TAMBA ROBLES PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(928) 210-1002
Mailing address
7027 W SOUTHGATE AVE, PHOENIX, AZ 85043-6611
(928) 210-1002
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
281933
AZ
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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