Individual
MRS. MICHELLE R DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12115 W VAN BUREN ST APT 1924, AVONDALE, AZ 85323
(623) 383-3031
(623) 399-1052
Mailing address
12115 W VAN BUREN ST APT 1924, AVONDALE, AZ 85323-7251
(623) 383-3031
(623) 399-1052
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171WOOOOOX
AZ
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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