Individual
AMY LEE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 W AVALON DR, PHOENIX, AZ 85015-5606
(623) 521-4148
Mailing address
2331 W AVALON DR, PHOENIX, AZ 85015-5606
(623) 521-4148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048893
AZ
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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