Individual provider · Type 1 NPI

Domineek Staten

Private Vehicle · Glendale, AZ

NPI number 1801759295 Active

Practice location

5541 N 59th Ave Unit 1107
Glendale, AZ 85301-5804

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1801759295

Domineek Staten's National Provider Identifier is 1801759295, issued on Dec 3, 2025. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Glendale, AZ. The record was last updated on Dec 3, 2025.