Individual
MS. JAMIE IMHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4502 N CENTRAL AVE, LOWER LEVEL, PHOENIX, AZ 85012-1817
(602) 764-1008
Mailing address
9002 W EL CAMINITO DR, PEORIA, AZ 85345-7858
(480) 543-0146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043789
AZ
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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