CHEYANNE WILDERNESS GASTELUM

PHOENIX, AZ
NPI1093050767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: AZ  168)
Enumeration Date2012-12-06
Last Update Date2012-12-06
Business Address
CHEYANNE WILDERNESS GASTELUM L.M
2236 E. DELGADO ST.
PHOENIX, AZ 85022
Phone number: 602-620-0025
Mailing Address
CHEYANNE WILDERNESS GASTELUM L.M
2236 E DELGADO ST
PHOENIX, AZ 85022-5836
Phone number: 602-620-0025