Individual
CALLA ELIZABETH VALIQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 E HIGHLAND AVE STE 300, PHOENIX, AZ 85016-4879
(602) 277-6211
Mailing address
31 E THOMAS RD APT 460, PHOENIX, AZ 85012-0057
(414) 477-6345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10556
AZ
Other
Enumeration date
03/10/2023
Last updated
08/08/2024
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