Individual
LISSETTE DEMONCHEAUX TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16251 N CAVE CREEK RD, PHOENIX, AZ 85032-2976
(480) 882-4545
(602) 992-1953
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9335
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156388
—
AZ
Enumeration date
06/04/2022
Last updated
10/24/2022
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