Individual
ANN JANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15215 S 48TH ST STE 120, PHOENIX, AZ 85044-9137
(807) 066-5804
(480) 706-8157
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2735
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892548
—
AZ
Enumeration date
01/25/2006
Last updated
04/08/2021
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