Individual
MIKE MANUEL HANNOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E LEAH LN, GILBERT, AZ 85234-2369
(480) 612-3083
(480) 635-9533
Mailing address
309 E LEAH LN, GILBERT, AZ 85234-2369
(480) 612-3083
(480) 635-9533
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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