SearchArizona163W00000X

Elise D'Agostino

NPI 1205254646 · on the registry since 2014 · sole proprietor

Practice

Address
11430 N 37th Ave
Phoenix, AZ 85029
Phone
(623) 326-5557

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona