DESANNE GONSALVES

MESA, AZ
NPI1851781173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  5963)
Enumeration Date2015-01-26
Last Update Date2015-08-03
Business Address
-- DESANNE GONSALVES
1255 W BASELINE RD
MESA, AZ 85202-5820
Phone number: 623-247-0805
Mailing Address
-- DESANNE GONSALVES
1255 W BASELINE RD
MESA, AZ 85202-5820
Phone number:
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