Individual
BETSY ALLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
(623) 445-5083
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
(623) 445-5083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP025913
AZ
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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