Individual
MS. PRISCILLA MARIE LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5602 E MAIN ST, MESA, AZ 85205-8813
(480) 854-9004
(480) 832-1858
Mailing address
5602 E MAIN ST, MESA, AZ 85205-8813
(480) 854-9004
(480) 832-1858
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP3452
AZ
Other
Enumeration date
11/12/2009
Last updated
01/29/2010
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