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1740902931
ALYSSA RIDAO
PHOENIX, AZ
NPI
1740902931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 280770)
Enumeration Date
2022-09-14
Last Update Date
2024-08-05
Business Address
ALYSSA RIDAO
500 W THOMAS RD STE 100
PHOENIX, AZ 85013-4255
Phone number: 602-406-1510
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Mailing Address
ALYSSA RIDAO
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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