Individual
MRS. TANA JEAN DESPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22149 E OCOTILLO RD, QUEEN CREEK, AZ 85242-7750
(480) 987-5966
(480) 882-1276
Mailing address
1046 E WESTBROOKE RD, QUEEN CREEK, AZ 85242-7059
(480) 987-9257
(480) 882-1276
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN028151
AZ
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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