Individual
DEBORAH KAY MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8045 N 47TH AVE, GLENDALE, AZ 85302-6499
(623) 435-6350
Mailing address
9190 W MEADOW DR, PEORIA, AZ 85382-3107
(816) 517-7973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012035475
MO
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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