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DARAROTH TONY LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
15650 N BLACK CANYON HWY STE 245B, PHOENIX, AZ 85053-4041
(602) 675-2747
Mailing address
2678 W MONTGOMERY DR, CHANDLER, AZ 85224-7854
(480) 577-5323

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
295609
AZ

Other

Enumeration date
08/22/2023
Last updated
02/08/2024
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