Most Relevant Information
Provider Data
| NPI Number: | 1003232323 |
| Provider Name: | SUSAN POMFRET LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | MT-01433P |
Most Important Dates
| Enumeration Date: | 03/11/2014 |
| Last Updated: | 03/11/2014 |
Provider Practice Location
836 N CHERRY
B
MESA
AZ
852014076
Practice Location Phone/Fax
| Phone: | 4806000908 |
| Fax: |
Provider Mailing Location
836 N CHERRY
B
MESA
AZ
852014076
Provider Mailing Phone/Fax
| Phone: | 4806000908 |
| Fax: |