Individual
SHANNON CHRISTINE ALTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366
Mailing address
4349 W SANDRA CIR, GLENDALE, AZ 85308-3509
(602) 413-9463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP038127
AZ
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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