Individual
DR. ASHLEY DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 E VAN BUREN ST, BUILDING 1 ROOM 1167, PHOENIX, AZ 85004-2230
(866) 218-6646
Mailing address
550 E VAN BUREN ST, BUILDING 1 ROOM 1167, PHOENIX, AZ 85004-2230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S01485450
AZ
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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