LIE ADI DARMAWAN

PHOENIX, AZ
NPI1417845819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: UT  8519460-3102)
Enumeration Date2025-06-25
Last Update Date2025-06-25
Business Address
LIE ADI DARMAWAN DNP
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-342-2000
Mailing Address
LIE ADI DARMAWAN DNP
4301 W MARKHAM ST EDUCATION II BUILDING, SUITE 5104E
LITTLE ROCK, AR 72205
Phone number: 501-526-7858
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