LISA MCDANIEL

GILBERT, AZ
NPI1720150709
Former NameLISA CLOUSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  3546)
Enumeration Date2006-11-14
Last Update Date2013-11-07
Business Address
-- LISA MCDANIEL PAC
3499 S MERCY RD
GILBERT, AZ 85297-0437
Phone number: 480-355-8525
Mailing Address
-- LISA MCDANIEL PAC
PO BOX 756
GILBERT, AZ 85299-0756
Phone number: 480-355-8525
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