AGNES J PREMKUMAR

PHOENIX, AZ
NPI1134861248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence:   390200000X)
Enumeration Date2022-04-09
Last Update Date2022-04-09
Business Address
AGNES J PREMKUMAR MD
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
Mailing Address
AGNES J PREMKUMAR MD
4001 N 3RD ST STE 290
PHOENIX, AZ 85012-2071
Phone number:
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