NPI 1033623541
Latanya Olivia Edenburgs
Practice location
- Address
- 10436 E Radiant Ave., Mesa, AZ 85212
- Phone
- (480) 560-2305
- Mailing address
- 10436 E Radiant Ave, Mesa, AZ 85212-8099
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1033623541
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Nov 2017
- Record last updated
- 20 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.