Individual
ANDRE DANIEL HAFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-1532
Mailing address
400 E EARLL DR UNIT 444, PHOENIX, AZ 85012-0027
(605) 484-1325
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
06/03/2022
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