Individual
JAY KENNETH HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 562-1200
Mailing address
10216 S HALE DR, APACHE JUNCTION, AZ 85120-6090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN205579
AZ
Other
Enumeration date
12/28/2023
Last updated
01/10/2025
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