Individual
JENAE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 MIKES PIKE ST, WINSLOW, AZ 86047-2400
(928) 289-6041
(928) 289-8371
Mailing address
700 MIKES PIKE ST, WINSLOW, AZ 86047-2400
(928) 289-6041
(928) 289-8371
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO-002964
AZ
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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