Individual
DANIELLE CONOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 E SAINT JOHN RD, PHOENIX, AZ 85032-2285
(602) 354-4440
(602) 354-4440
Mailing address
4302 E SAINT JOHN RD, PHOENIX, AZ 85032-2285
(602) 354-4440
(602) 354-4440
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11041H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505234
—
AZ
Enumeration date
07/11/2019
Last updated
07/11/2019
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