Individual
MARINA KANDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20414 N 27TH AVE, PHOENIX, AZ 85027-3250
(720) 848-0000
Mailing address
1541 E LARK ST, GILBERT, AZ 85297-4582
(520) 981-9372
(472) 203-3871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9695
AZ
363LF0000X
Family Nurse Practitioner
C-APN.0000373-C-NP
CO
Other
Enumeration date
07/08/2015
Last updated
03/18/2024
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