Individual
DANIEL PALLARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
27311 N COVERED WAGON RD, PHOENIX, AZ 85085-3783
(602) 473-8102
Mailing address
27311 N COVERED WAGON RD, PHOENIX, AZ 85085-3783
(602) 473-8102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23908
AZ
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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