Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | C144093 | CA |
NPI | 1558528612 |
---|---|
Provider Name | Angela Fimbres Veesenmeyer |
First Address | Phoenix, AZ 85016-8034 |
Second Address | Phoenix, AZ 85016-8034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 11/06/2020 |