Individual
MADELINE ANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15151 W CENTERRA DR S, GOODYEAR, AZ 85338-2956
(623) 772-4800
(623) 772-4820
Mailing address
PO BOX 907, BUCKEYE, AZ 85326-0069
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP041362
AZ
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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