Most Relevant Information
Provider Data
| NPI Number: | 1003537242 |
| Provider Name: | ALEXIS MARIE DALLACROCE BS |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | SLPA14099 |
Most Important Dates
| Enumeration Date: | 09/07/2022 |
| Last Updated: | 09/07/2022 |
Provider Practice Location
43507 N IRONWOOD DR
SAN TAN VALLEY
AZ
851409312
Practice Location Phone/Fax
| Phone: | 6026254143 |
| Fax: |
Provider Mailing Location
20834 E WAVERLY DR
QUEEN CREEK
AZ
851425086
Provider Mailing Phone/Fax
| Phone: | 6026254143 |
| Fax: |