SUSANNAMMA LIJAN

PHOENIX, AZ
NPI1003424102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  246807)
Enumeration Date2020-07-15
Last Update Date2020-10-19
Business Address
SUSANNAMMA LIJAN PMHNP
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5345
Mailing Address
SUSANNAMMA LIJAN PMHNP
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5345
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