SHANTEL TANAE GLICK

PEORIA, AZ
NPI1841342631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  AZ3142)
Enumeration Date2007-01-18
Last Update Date2015-05-20
Business Address
-- SHANTEL TANAE GLICK PA-C
21681 N 77TH AVE
PEORIA, AZ 85382-2132
Phone number: 623-972-9200
Mailing Address
-- SHANTEL TANAE GLICK PA-C
21681 N 77TH AVE
PEORIA, AZ 85382-2132
Phone number: 623-972-9200
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