Individual
DANIEL WAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(480) 373-2376
Mailing address
1301 S CRISMON RD, MESA, AZ 85209-3767
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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