VENEDA TAWANA POLITE

PHOENIX, AZ
NPI1952540577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AK  348)
Enumeration Date2009-02-05
Last Update Date2009-05-13
Business Address
Miss VENEDA TAWANA POLITE CRNA
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
Miss VENEDA TAWANA POLITE CRNA
PO BOX 31001-0698
PASADENA, CA 91110-0001
Phone number: 602-263-1200