Individual
MARINE NELLY PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2910 N 3RD AVE STE 330, PHOENIX, AZ 85013-4434
(604) 406-8811
(602) 406-8810
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(604) 406-7765
(602) 294-5519
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA12485
AZ
Other
Enumeration date
08/03/2020
Last updated
11/01/2024
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