Individual
MARY JOY DOMINGUEZ BALBARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13555 W MCDOWELL RD STE 302, GOODYEAR, AZ 85395-2629
(623) 512-4390
(623) 512-4139
Mailing address
17560 N 75TH AVE STE 440, GLENDALE, AZ 85308-5968
(623) 512-4390
(623) 512-4139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7360
AZ
Other
Enumeration date
10/01/2014
Last updated
01/18/2017
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