Individual
RYAN RENEE' JARA-BERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
2730 N 79TH AVE, PHOENIX, AZ 85035-1226
(623) 691-4085
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN164176
AZ
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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