Individual
GINA SONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5490 W PARADISE LN, GLENDALE, AZ 85306-2535
(623) 412-5050
Mailing address
5490 W PARADISE LN, GLENDALE, AZ 85306-2535
(623) 412-5050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP051068
AZ
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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