Individual
ELAINA M WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
(623) 937-5425
Mailing address
5430 W GLENN DR, GLENDALE, AZ 85301-2628
(623) 915-0345
(623) 937-5425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3510
AZ
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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