Individual
MRS. DIANNA MARIE FAIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH., CDM
Contact information
Practice address
815 E. JUAN SANCHEZ BLVD., SAN LUIS, AZ 85349
(928) 373-5757
(928) 373-5757
Mailing address
815 E. JUAN SANCHEZ BLVD., SAN LUIS, AZ 85349
(928) 344-4113
(928) 373-5767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8594
AZ
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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