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Individual

REAN ALLAM DISPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
2028 SOUTH 101ST DRIVE, TOLLESON, AZ 85353
(623) 570-5298
Mailing address
2028 SOUTH 101ST DRIVE, TOLLESON, AZ 85353
(623) 570-5298

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
334356
AZ

Other

Enumeration date
03/30/2026
Last updated
03/30/2026
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