Individual
DANITZA BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11650 W FAYES GLEN DR, MARANA, AZ 85653-7515
(520) 234-7019
Mailing address
11650 W FAYES GLEN DR, MARANA, AZ 85653-7515
(520) 234-7019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN209167
AZ
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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