Individual
MRS. MARY LORENE FREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2217 W GLENDALE AVE, PHOENIX, AZ 85021-7729
(623) 915-8403
(623) 915-8437
Mailing address
2217 W GLENDALE AVE, PHOENIX, AZ 85021-7729
(623) 915-8403
(623) 915-8437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN111512
AZ
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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