LIANE FOSSEN

MESA, AZ
NPI1386044493
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  s012550)
Enumeration Date2014-08-26
Last Update Date2014-08-26
Business Address
-- LIANE FOSSEN
7026 E ROLAND ST
MESA, AZ 85207-1280
Phone number: 480-219-4199
Mailing Address
-- LIANE FOSSEN
7026 E ROLAND ST
MESA, AZ 85207-1280
Phone number: