Individual
DOMONIQUE CHASTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3675 E BRITANNIA DR, TUCSON, AZ 85706-5041
(520) 209-3000
Mailing address
1202 N BRYANT AVE, TUCSON, AZ 85712-3808
(520) 345-1185
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T079750
AZ
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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