Individual
EILEEN DIANE PAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-1516
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-1516
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN000099168
AZ
Other
Enumeration date
02/15/2007
Last updated
08/30/2010
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