Individual
HOLLY MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10211 E MADERO AVE, MESA, AZ 85209-1493
(480) 635-2025
Mailing address
8832 E PUEBLO AVE LOT 79, MESA, AZ 85208-2942
(480) 359-9043
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPO39250
AZ
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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