Individual
JESSICA JALISE VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6601 W INDIAN SCHOOL RD, PHOENIX, AZ 85033-3339
(623) 846-0622
Mailing address
8862 W MYRTLE AVE, GLENDALE, AZ 85305-6934
(480) 206-3712
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022197
AZ
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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