Most Relevant Information
Provider Data
| NPI Number: | 1003224874 |
| Provider Name: | DAYNA TIERNEY ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 1308 |
Most Important Dates
| Enumeration Date: | 07/24/2014 |
| Last Updated: | 07/24/2014 |
Provider Practice Location
1925 S CORONADO RD
APARTMENT 2145
GILBERT
AZ
852951390
Practice Location Phone/Fax
| Phone: | 6025100544 |
| Fax: |
Provider Mailing Location
1925 S CORONADO RD
APARTMENT 2145
GILBERT
AZ
852951390
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |