Individual
EVANGELINA HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4308 N 51ST AVE STE 102, PHOENIX, AZ 85031-1914
(623) 691-1915
Mailing address
16001 N VERDE ST, SURPRISE, AZ 85378-4188
(623) 734-3709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN161271
AZ
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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