Individual
MR. JAMES DIDOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LMT
Contact information
Practice address
3113 S BECK DR, TUCSON, AZ 85730-3623
(520) 358-4438
Mailing address
3113 S BECK DR, TUCSON, AZ 85730-3623
(520) 358-4438
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT-27228
AZ
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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