Individual
MARIANA STANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 S 22ND ST, PHOENIX, AZ 85040-2528
(602) 232-4913
Mailing address
9410 E CADENCE PKWY APT 1148, MESA, AZ 85212-0107
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
303318
AZ
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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