Individual
TIMOTHY DZIURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1234 E NORTHERN AVE, PHOENIX, AZ 85020-4274
(602) 331-1470
Mailing address
14824 W REDFIELD RD, SURPRISE, AZ 85379-7434
(623) 810-5584
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044962
AZ
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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