Individual
DR. JENNIFER TATIANA JARA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1856 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 825-7111
(520) 818-1253
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 616-6799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65852
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160205
—
AZ
Enumeration date
07/30/2019
Last updated
12/27/2024
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