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LIFESPANN ENHANCED SKIN & BODY CARE, PLLC 1720757032

Overview
Name: LIFESPANN ENHANCED SKIN & BODY CARE, PLLC Specialty: Family Nurse Practitioner Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers Classification: Nurse Practitioner Specialization: Family. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: LIFESPANN ENHANCED SKIN & BODY CARE, PLLC,LIFESPANN PRIMARY CARE & ESTHETICS,2451 E BASELINE RD STE 310,GILBERT,AZ,852342465,US Mailing Address: LIFESPANN ENHANCED SKIN & BODY CARE, PLLC,LIFESPANN PRIMARY CARE & ESTHETICS,3954 S WHITMAN CIR,MESA,AZ,852122528,US
Contact #
Practice location phone #: 4803517151 Practice location fax #: 4804990891 Mailing address Phone #: 4803525108 Mailing Address fax #: Authorized official Name/Telephone #:JENNIFER, VALENCIA, SPANN, CRT, RRT, LE, OWNER/MANAGER 4803517151
Misc
Date NPI was obtained: 09/09/2021 Last data data was updated: 11/08/2021 Insurances:

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