Individual
MARISOL FATTORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7300 N DYSART RD, GLENDALE, AZ 85307-2218
(623) 876-7304
Mailing address
7300 N DYSART RD, GLENDALE, AZ 85307-2218
(623) 876-7304
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TLP050399
AZ
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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