LARRY LAWAYNE MINOR

PHOENIX, AZ
NPI1700397650
Professional NameLARRY LAWAYNE MINOR
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP10495)
Enumeration Date2017-10-18
Last Update Date2017-10-28
Business Address
LARRY LAWAYNE MINOR FNP
4169 E CHOLLA CANYON DR
PHOENIX, AZ 85044-6712
Phone number: 480-495-5940
Mailing Address
LARRY LAWAYNE MINOR FNP
4169 E CHOLLA CANYON DR
PHOENIX, AZ 85044-6712
Phone number: 480-495-5940