MAKINI CLINIC PLLC

PHOENIX, AZ
NPI1386423176
Entity TypeOrganization
Authorized ContactSTANLEY KIDIAVAYI
Owner
602-856-6116
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
MAKINI CLINIC PLLC
8805 N 23RD AVE STE 100
PHOENIX, AZ 85021-4172
Phone number: 602-856-6116
Mailing Address
MAKINI CLINIC PLLC
4220 SAXTON GREEN AVE
LAS VEGAS, NV 89141-4354
Phone number:
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