Individual
NHUNG DECANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 W BUCKEYE RD, PHOENIX, AZ 85043
(602) 442-9008
Mailing address
8351 W MORTEN AVE, GLENDALE, AZ 85305-3937
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
S022747
AZ
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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