Dana Renee Balagot Mort, LPN

NPI #1013373281 in Tempe, Arizona

Provider Information

NPI Number
1013373281
Entity Type
Individual
Name
Dana Renee Balagot Mort, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 4, 2016
Last Updated
Jan 4, 2016

Practice Location

Address
8700 S KYRENE RD
City
Tempe
State
Arizona
ZIP Code
85284-2108
Phone
(602) 599-3889

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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