Individual
JACQUELYN ISLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12808 N BLACK CANYON HWY, PHOENIX, AZ 85029-1346
(615) 778-4066
Mailing address
5080 SPECTRUM DR, SUITE 1200 WEST TOWER, ADDISON, TX 75001-4648
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
28020
AZ
Other
Enumeration date
03/19/2007
Last updated
02/17/2009
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