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Individual

JHAJAIRA ELIZABETH CADENAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11725 N 19TH AVE STE 8, PHOENIX, AZ 85029-3500
(480) 432-8293
Mailing address
4215 W ASTER DR, PHOENIX, AZ 85029-1935
(480) 432-8293

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
160141610139
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D11302884
IDENTIFICATION CARD ARIZONA
Enumeration date
03/19/2020
Last updated
02/24/2025
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