Individual
ELLIE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7344 N 22ND ST, PHOENIX, AZ 85020-4753
(602) 996-1499
Mailing address
7344 N 22ND ST, PHOENIX, AZ 85020-4753
(602) 996-1499
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN024121
AZ
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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