Individual
MS. PATRICIA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 W MELODY AVE, GILBERT, AZ 85233-1523
(480) 497-3755
Mailing address
19 W MELODY AVE, GILBERT, AZ 85233-1523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102114
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10214
THERAPUTICE FOSTER PARENT
AZ
Enumeration date
12/28/2006
Last updated
07/08/2007
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