Most Relevant Information
Provider Data
| NPI Number: | 1003467879 |
| Provider Name: | SUNNY MAKOLO |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 250872 |
Most Important Dates
| Enumeration Date: | 09/24/2019 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
2405 STONEWALL ST
GREENVILLE
TX
754013349
Practice Location Phone/Fax
| Phone: | 9034543300 |
| Fax: | 9034543307 |
Provider Mailing Location
2550 W UNION HILLS DR
PHOENIX
AZ
850275163
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |