Organization
DANJER BLAZE REIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE SEARS (OWNER)
(602) 615-0876
Entity
Organization
Contact information
Practice address
530 E HUNT HWY STE 130 PMB #493, SAN TAN VALLEY, AZ 85143-6581
(480) 256-2958
Mailing address
530 E HUNT HWY STE 130 PMB #493, SAN TAN VALLEY, AZ 85143-6581
(480) 256-2958
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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