Individual
THOMAS DANNEMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
25555 W DURANGO ST, BUCKEYE, AZ 85326-9176
(623) 925-3400
Mailing address
18677 W VISTA NORTE ST, GOODYEAR, AZ 85338-7579
(701) 818-8553
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN188414
AZ
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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