ELLAYNA RENEE WIEDOW AVILA

CHANDLER, AZ
NPI1417435181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AZ  7241)
Enumeration Date2018-08-03
Last Update Date2024-12-05
Business Address
ELLAYNA RENEE WIEDOW AVILA PA-C
485 S DOBSON RD STE 110
CHANDLER, AZ 85224-5600
Phone number: 480-728-4470
Mailing Address
ELLAYNA RENEE WIEDOW AVILA PA-C
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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