Individual
MENG MI QIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11430 S 51ST ST, PHOENIX, AZ 85044-1710
(520) 850-7709
Mailing address
11430 S 51ST ST, PHOENIX, AZ 85044-1710
(520) 850-7709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048093
AZ
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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