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Fatima Yarely Manjarrez

Licensed Practical Nurse in Phoenix, AZ. Individual provider (NPI-1).

NPI number1033765359
StatusActive
Last updated in NPPESAug 13, 2019

Details

NPI
1033765359
Entity type
Individual (NPI-1)
Name
Fatima Yarely Manjarrez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2019
Last updated
Aug 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical NurseLP052126AZYes

Practice location

10251 N 35th Ave
Phoenix, AZ 85051-1305

Phone 602-995-7366 · Fax 602-995-0867

Mailing address

4126 N 85th Ave
Phoenix, AZ 85037-2108

Phone 602-995-7366 · Fax 602-995-0867

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