Individual
JILL SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4017 S DIXON DR, FORT MOHAVE, AZ 86426-6338
(928) 234-8277
Mailing address
4017 S DIXON DR, FORT MOHAVE, AZ 86426-6338
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN150919
AZ
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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