Individual
AMENA MARIE DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4512 N 40TH ST, PHOENIX, AZ 85018-3604
(602) 954-7546
Mailing address
4512 N 40TH ST, PHOENIX, AZ 85018-3604
(602) 954-7546
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
49719
AZ
Other
Enumeration date
07/09/2008
Last updated
02/27/2015
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