Individual
DESTINY DOLLIE CELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2955 N SONORAN HLS, MESA, AZ 85207-1377
(818) 488-4691
Mailing address
2955 N SONORAN HLS, MESA, AZ 85207-1377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
24984532
AZ
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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