Individual
MRS. GLENISS SUNDHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 867-5135
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 867-5135
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN037701
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644387
—
AZ
Enumeration date
09/28/2006
Last updated
07/09/2007
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