Individual
LIA MONTEIRO BARBOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7709
(480) 512-3700
Mailing address
PO BOX 11023, CHANDLER, AZ 85248-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
08/01/2024
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