Individual
DANIELLA DARLENE DETJENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 E UNION HILLS DR, PHOENIX, AZ 85050-3146
(602) 867-0561
Mailing address
1126 E PALO VERDE DR, PHOENIX, AZ 85014-2247
(602) 642-0161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027033
AZ
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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