Individual
DANIELLE MARIE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12901 W. 63RD AVENUE, GLENDALE, AZ 85304
(623) 412-4753
Mailing address
6740 W BUCKSKIN TRL, PEORIA, AZ 85383-7062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN180523
AZ
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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