Individual
EFFULA HARNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(602) 618-3787
Mailing address
26046 N 96TH AVE, PEORIA, AZ 85383-8928
(602) 618-3787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
263665
AZ
Other
Enumeration date
09/08/2021
Last updated
09/09/2021
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