Individual
JENNA SANGKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007006
AZ
Other
Enumeration date
06/24/2013
Last updated
11/19/2020
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