Individual
DEBORAH SECUNDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15150 W MONDELL RD, SURPRISE, AZ 85374-3434
(623) 876-7604
Mailing address
15150 W MONDELL RD, SURPRISE, AZ 85374-3434
(623) 876-7604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP026466
AZ
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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