Individual
DANIELLE EROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1521 E EMERALD AVE, MESA, AZ 85204-4327
(602) 582-8652
Mailing address
1521 E EMERALD AVE, MESA, AZ 85204-4327
(602) 582-8652
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P57973538
AZ
225700000X
Massage Therapist
Primary
MT-29449
AZ
Other
Enumeration date
03/13/2024
Last updated
05/16/2024
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