Individual
JENNIFER LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 W GROVERS AVE, GLENDALE, AZ 85308-3006
(602) 467-5310
Mailing address
3910 W GROVERS AVE, GLENDALE, AZ 85308-3006
(602) 467-5310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN167369
AZ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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