Individual
MRS. CELYSTE CACHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 W CACTUS RD, PHOENIX, AZ 85029-3364
(602) 607-4700
Mailing address
2806 W CACTUS RD, PHOENIX, AZ 85029-3364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
286039
AZ
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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