Individual
TANA FRUMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4801 E MCDOWELL RD STE 150, PHOENIX, AZ 85008-7725
(602) 954-3919
(602) 954-3919
Mailing address
4801 E MCDOWELL RD STE 150, PHOENIX, AZ 85008-7725
(602) 954-3919
(602) 954-3670
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
3540
AZ
363A00000X
Physician Assistant
Primary
3540
AZ
Other
Enumeration date
02/08/2007
Last updated
12/08/2023
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