Search › Arizona › 363LF0000X
Mary Boontung
NPI 1790567816 · on the registry since 2023
Practice
- Address
- 3458 E Casa Mader Dr
Gilbert, AZ 85298 - Phone
- (310) 989-9710
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-16
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