Individual
MS. BETH LOUISE JACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2680 S. VAL VISTA DRIVE, SUITE 167, BLD 12, GILBERT, AZ 85295
(480) 857-0222
(480) 857-0200
Mailing address
2680 S. VAL VISTA DRIVE, SUITE 167, BLD 12, GILBERT, AZ 85295
(480) 857-0222
(480) 857-0200
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN073431
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
197
AZ
Other
Enumeration date
09/26/2008
Last updated
10/22/2008
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