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Individual

DANIELLE MARIE-TIGER LARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3885 S VAL VISTA DR, GILBERT, AZ 85297-7313
(480) 331-4316
(480) 571-3613
Mailing address
2390 W RAY RD STE 1, CHANDLER, AZ 85224-3570
(480) 331-4316

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8245
AZ
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/10/2020
Last updated
10/30/2023
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