JISMI THEEYATTUVELI

MESA, AZ
NPI1285229534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  254316)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AZ  138064)
Enumeration Date2021-03-08
Last Update Date2022-11-14
Business Address
JISMI THEEYATTUVELI NP
51 S 48TH ST
MESA, AZ 85206-1250
Phone number: 480-832-8333
Mailing Address
JISMI THEEYATTUVELI NP
4291 E LEXINGTON AVE
GILBERT, AZ 85234-0729
Phone number: 480-310-8524