Individual
MS. ELAINE MARY OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1232 E BAKER DR, TEMPE, AZ 85282-7283
(480) 789-3475
(480) 491-3786
Mailing address
1232 E BAKER DR, TEMPE, AZ 85282-7283
(480) 789-3475
(480) 491-3786
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
MT02732P
AZ
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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