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Individual

MRS. DIANA EVERITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
7139 S 10TH ST, PHOENIX, AZ 85042-5522
(602) 232-4233
Mailing address
7139 S 10TH ST, PHOENIX, AZ 85042-5522
(602) 232-4233

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN047842
AZ

Other

Enumeration date
09/10/2009
Last updated
09/10/2009
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