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Individual

DELIA CONSENTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1632 E FLOWER ST, PHOENIX, AZ 85016-7115
(623) 256-0021
Mailing address
4825 W DESERT HILLS DR, GLENDALE, AZ 85304-2932
(623) 256-0021

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LISAC 11466
AZ

Other

Enumeration date
02/17/2016
Last updated
02/17/2016
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