SAGE ILAS

PHOENIX, AZ
NPI1700606282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  315482)
Enumeration Date2024-10-10
Last Update Date2024-10-12
Business Address
SAGE ILAS FNP
5355 E HIGH ST UNIT 101
PHOENIX, AZ 85054-5481
Phone number: 928-978-0198
Mailing Address
SAGE ILAS FNP
5223 E HERRERA DR
PHOENIX, AZ 85054-7183
Phone number: 928-978-0198
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