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Organization
D.G FAMILY CLINIC LLC
Active
Organization
D.G FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRE NTAJONJORA NKOMEZI (OWNER)
(817) 707-2798
Entity
Organization
Contact information
Practice address
11242 N 19TH AVE STE 21, PHOENIX, AZ 85029-4858
(817) 707-2798
Mailing address
4821 N 108TH AVE, PHOENIX, AZ 85037-5471
(817) 707-2798
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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