Individual
HANNA FRANCES REAL FASTIDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2020 E RIO SALADO PKWY STE 101, TEMPE, AZ 85288-3042
(480) 967-0563
(480) 967-0291
Mailing address
2325 E RIO SALADO PKWY APT 3052, TEMPE, AZ 85288-7482
(916) 955-1993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002599
AZ
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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