Individual
MS. APRIL DORICE JANECKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2395 SMOKETREE AVE N, LAKE HAVASU CITY, AZ 86403-5876
(928) 505-6020
Mailing address
2403 N STOCKTON HILL RD, KINGMAN, AZ 86401-4188
(928) 377-5903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
248465
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9284126335
NURSING
—
Enumeration date
04/19/2021
Last updated
04/19/2021
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