Individual
KHANH THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Mailing address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229786
AZ
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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