Individual
KIMBERLY ETPISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 E FRYE RD, CHANDLER, AZ 85225
(480) 812-6302
Mailing address
2958 E DUBLIN ST, GILBERT, AZ 85295-0405
(480) 812-6302
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
229472
AZ
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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