Individual
NYADUOTH J CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8450 N 59TH AVE APT 209, GLENDALE, AZ 85302-5581
(602) 566-3262
Mailing address
8450 N 59TH AVE APT 209, GLENDALE, AZ 85302-5581
(602) 566-3262
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP051327
AZ
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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