Organization
OUR FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALODIA DOMINGO FNP (OWNER)
(602) 345-1570
Entity
Organization
Contact information
Practice address
5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302-3147
(602) 345-1570
Mailing address
5700 W OLIVE AVE STE 102, GLENDALE, AZ 85302-3147
(602) 345-1570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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