Individual
MS. TORIYANA MAKEBA GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 200-5382
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 200-5383
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703108503
MI
164W00000X
Licensed Practical Nurse
L2159216
MI
164W00000X
Licensed Practical Nurse
Primary
LP050633
AZ
164W00000X
Licensed Practical Nurse
PN5191000
FL
Other
Enumeration date
05/18/2012
Last updated
01/12/2016
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