Individual
MILINDA NINA PRECIADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 N 126TH AVE, AVONDALE, AZ 85392-6307
(623) 670-6657
Mailing address
4010 N 126TH AVE, AVONDALE, AZ 85392-6307
(623) 670-6657
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP042856
AZ
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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