Individual
WANDALIZ DHIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21001 N TATUM BLVD, PHOENIX, AZ 85050-4206
(787) 995-1900
Mailing address
21001 N TATUM BLVD, PHOENIX, AZ 85050-4206
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
659494
PR
247100000X
Radiologic Technologist
Primary
CRT-72486
AZ
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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