LISA WAKEFIELD

SAN TAN VALLEY, AZ
NPI1043832264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AZ  240988)
Enumeration Date2020-05-11
Last Update Date2020-05-11
Business Address
LISA WAKEFIELD
1148 W FRUIT TREE LN
SAN TAN VALLEY, AZ 85143-3487
Phone number: 313-478-8274
Mailing Address
LISA WAKEFIELD
1148 W FRUIT TREE LN
SAN TAN VALLEY, AZ 85143-3487
Phone number: 313-478-8274
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