Individual
MYESHA MARYRUTH CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
45012 W HONEYCUTT AVE, MARICOPA, AZ 85239-2842
(520) 568-5100
Mailing address
46014 W STARLIGHT DR, MARICOPA, AZ 85239-6923
(520) 494-4690
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043083
AZ
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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