MIKALA RENEE BLISS

PHOENIX, AZ
NPI1518411222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: AZ  RN181850)
Enumeration Date2016-08-10
Last Update Date2016-08-10
Business Address
-- MIKALA RENEE BLISS
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- MIKALA RENEE BLISS
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200