Individual
FLORENCE MBUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6226 W ENCINAS LN, PHOENIX, AZ 85043-1910
(240) 646-2638
Mailing address
6226 W ENCINAS LN, PHOENIX, AZ 85043-1910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002169-P.A
PR
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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