Ejerzain Aniles- Renova Valid NPI

Individual provider · Physician Assistant · Phoenix, AZ

NPI

1053873109

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

7602 (AZ)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-04-05

Last updated

2020-10-20