Individual
LISA CHARLINA WILLHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16750 W GARFIELD ST, GOODYEAR, AZ 85338-6287
(623) 772-4710
(623) 772-4720
Mailing address
16750 W GARFIELD ST, GOODYEAR, AZ 85338-6287
(623) 772-4710
(623) 772-4720
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP028098
AZ
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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