Individual
DOMENIC XAVIER WENDELL REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1166 S GILBERT RD STE 106, GILBERT, AZ 85296-3461
(602) 535-8341
Mailing address
9 E DEL RIO DR, TEMPE, AZ 85282-3609
(480) 495-0517
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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