| Annette Mack, LPN | |
|
6909 S 38th Dr, Phoenix, AZ 85041-6195 | |
| (602) 446-8474 | |
| Not Available |
| Full Name | Annette Mack |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 6909 S 38th Dr, Phoenix, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528393303 | NPI | - | NPPES |
| LP041359 | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP041359 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Annette Mack, LPN 6909 S 38th Dr, Phoenix, AZ 85041-6195 Ph: (602) 446-8474 | Annette Mack, LPN 6909 S 38th Dr, Phoenix, AZ 85041-6195 Ph: (602) 446-8474 |
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