Individual
DANIEL JAYSON KRONEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 W 6TH DR, MESA, AZ 85210-2316
(480) 560-3802
Mailing address
530 W 6TH DR, MESA, AZ 85210-2316
(480) 560-3802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
6354A
AZ
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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