Individual
MS. LORRAINE SOPHIA CUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
6242 E ARBOR AVE, SUITE 103, MESA, AZ 85206-1309
(480) 889-2165
(480) 889-2164
Mailing address
6242 E ARBOR AVE, SUITE 103, MESA, AZ 85206-1309
(480) 889-2165
(480) 889-2164
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP4569
AZ
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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