ELIZABETH VIDALES

BUCKEYE, AZ
NPI1053883371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  220228)
Enumeration Date2018-12-27
Last Update Date2021-01-05
Business Address
ELIZABETH VIDALES NP-C
306 E MONROE AVE
BUCKEYE, AZ 85326-2706
Phone number: 877-809-5092
Mailing Address
ELIZABETH VIDALES NP-C
3033 N CENTRAL AVE STE 145
PHOENIX, AZ 85012-2808
Phone number: 623-583-3001
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