Individual
PATRICIA FALLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
7103 W LONE TREE TRL, PEORIA, AZ 85383-3045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116122
AZ
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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