Individual
SEBASTIAN PALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 E RAY RD, PHOENIX, AZ 85044-6092
(480) 785-1006
Mailing address
5151 N 16TH ST APT 2061, PHOENIX, AZ 85016-3812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I027042
AZ
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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