STEPHANIE HENRIQUEZ

EL MIRAGE, AZ
NPI1134521503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP049160)
Enumeration Date2014-09-17
Last Update Date2014-09-17
Business Address
-- STEPHANIE HENRIQUEZ
12907 W GREENWAY RD
EL MIRAGE, AZ 85335-9759
Phone number: 623-876-7404
Mailing Address
-- STEPHANIE HENRIQUEZ
12907 W GREENWAY RD
EL MIRAGE, AZ 85335-9759
Phone number: 623-876-7404