MARIO ELENO DE CASTRO CORDERO

SAN TAN VALLEY, AZ
NPI1942559323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  F0812566)
Enumeration Date2012-08-31
Last Update Date2019-05-29
Business Address
MARIO ELENO DE CASTRO CORDERO FNP-C
287 E HUNT HWY SUITE 105
SAN TAN VALLEY, AZ 85143-5095
Phone number: 480-677-8282
Mailing Address
MARIO ELENO DE CASTRO CORDERO FNP-C
4600 S MILL AVE SUITE 280
TEMPE, AZ 85282-6757
Phone number: 480-305-2888