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Individual

MISS HEMALI TUSHAR JAMBUSARIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S

Contact information

Practice address
1500 E BROADWAY RD, APT 2083, TEMPE, AZ 85282-1640
(562) 659-0414
Mailing address
1500 E BROADWAY RD, APT 2083, TEMPE, AZ 85282-1640
(562) 659-0414

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4203809
AZ

Other

Enumeration date
09/15/2009
Last updated
09/15/2009
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