Individual
DOMINIQUE NADINE RODALLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9801 W VAN BUREN ST, TOLLESON, AZ 85353-2833
(623) 478-4000
Mailing address
9801 W VAN BUREN ST, TOLLESON, AZ 85353-2833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
302195
AZ
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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