Individual
MS. ELLEN CATHERINE PHUNGRASAMEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2415
(602) 707-2400
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2415
(602) 707-2400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN044414
AZ
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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