Individual
ARIANA EDNA VILLACORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17816 N 56TH LN, GLENDALE, AZ 85308-1201
(703) 859-1602
Mailing address
17816 N 56TH LN, GLENDALE, AZ 85308-1201
(703) 859-1602
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001308931
VA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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