SHANTALA MASK

PHOENIX, AZ
NPI1336304427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  2911)
Enumeration Date2008-07-28
Last Update Date2014-02-04
Business Address
-- SHANTALA MASK P.A.
4136 N 75TH AVE STE. 101
PHOENIX, AZ 85033-3171
Phone number: 623-849-2220
Mailing Address
-- SHANTALA MASK P.A.
4136 N 75TH AVE STE. 101
PHOENIX, AZ 85033-3171
Phone number: 623-849-2220
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