Individual
JENICA ANN RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
265327
AZ
363LF0000X
Family Nurse Practitioner
Primary
265327
AZ
Other
Enumeration date
10/14/2021
Last updated
08/26/2024
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