Individual
JENNIFER A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3301 N LITCHFIELD RD STE 200, GOODYEAR, AZ 85395-3197
(623) 935-2929
Mailing address
10324 W LUKE AVE, GLENDALE, AZ 85307-4307
(602) 684-7368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9144
AZ
Other
Enumeration date
06/22/2022
Last updated
10/19/2023
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