MICALYNN EVE GAUNTLETT

PHOENIX, AZ
NPI1588018204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP034473)
Enumeration Date2016-04-19
Last Update Date2016-04-19
Business Address
-- MICALYNN EVE GAUNTLETT
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- MICALYNN EVE GAUNTLETT
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200