Individual
JENNY POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E MESQUITE ST, GILBERT, AZ 85296-1814
(480) 813-1240
Mailing address
1000 E MESQUITE ST, GILBERT, AZ 85296-1814
(480) 813-1240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN168866
AZ
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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