Individual
DOMINIQUE SAMANTHA HALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E MCDOWELL RD STE 410, PHOENIX, AZ 85006-2606
(480) 818-9078
Mailing address
21000 E CARRIAGE WAY, QUEEN CREEK, AZ 85142-3821
(619) 504-1864
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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