Individual
PHONEMANY MARY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
272 E SAGEBRUSH ST, LITCHFIELD PARK, AZ 85340-4934
(623) 541-1418
(623) 547-1947
Mailing address
272 E. SAGEBRUSH ST., LITCHFIELD PARK, AZ 85340
(623) 541-1418
(623) 547-1947
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043653
AZ
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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