Individual
MICHELLE REMILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1460 E BELL RD, 1132-2, PHOENIX, AZ 85022-2777
(602) 703-9957
Mailing address
1460 E BELL RD, 1132-2, PHOENIX, AZ 85022-2777
(602) 703-9957
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP024191
AZ
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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