Individual
MR. ESAT KUCUKSADIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
461 W HOLMES AVE UNIT 341, MESA, AZ 85210-5179
(602) 561-5312
Mailing address
461 W HOLMES AVE UNIT 341, MESA, AZ 85210-5179
(602) 561-5312
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN171487
AZ
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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