Individual
ENOC CAMPISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 257-3806
Mailing address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 257-3806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP046135
AZ
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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