Individual
DANIELA HAIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 N 19TH AVE STE 6, PHOENIX, AZ 85015-4602
(602) 264-9191
Mailing address
4350 N 19TH AVE STE 6, PHOENIX, AZ 85015-4602
(602) 264-9191
(602) 532-2973
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
250766
AZ
Other
Enumeration date
12/08/2020
Last updated
02/01/2021
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