Individual
MAMIE SNODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 W SHERMAN ST UNIT 1091, PHOENIX, AZ 85007-3468
(612) 240-1959
Mailing address
1018 W SHERMAN ST UNIT 1091, PHOENIX, AZ 85007-3468
(612) 240-1959
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6069
AZ
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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