Individual
MRS. MARISSA MANALO DESIDERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN R.N.
Contact information
Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2215
(602) 707-2040
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2215
(602) 707-2040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
TRN156126
AZ
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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