Individual
MR. DENISE PAULINE DIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3843 W ROOSEVELT ST, PHOENIX, AZ 85009-3206
(602) 442-2300
Mailing address
3348 W MCDOWELL RD, PHOENIX, AZ 85009-2416
(602) 442-2305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN047892
AZ
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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