Individual
LINDA SUSAN PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 N. COUNTRY CLUB DRIVE, MESA, AZ 85201
(480) 472-2350
Mailing address
1025 N. COUNTRY CLUB DR., MESA, AZ 85201
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN02870
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591893
—
AZ
Enumeration date
03/28/2007
Last updated
07/08/2007
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