DIANA ANDREEA STAN

GLENDALE, AZ
NPI1114465598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: AZ  6630)
Enumeration Date2017-02-07
Last Update Date2018-07-17
Business Address
DIANA ANDREEA STAN
18555 N 79TH AVE STE B108
GLENDALE, AZ 85308
Phone number: 623-773-2848
Mailing Address
DIANA ANDREEA STAN
1847 W HEATHERBRAE DR
PHOENIX, AZ 85015-4764
Phone number: