Individual
DEANNA UPDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7241 W ROSE GARDEN LN, GLENDALE, AZ 85308-9634
(623) 376-4810
Mailing address
7241 W ROSE GARDEN LN, GLENDALE, AZ 85308-9634
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN130752
AZ
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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